Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.33 / $3,645.00 / $8,294.00	Facility		$1,309.33	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,087.16 / $1,309.33 / $1,461.38	Professional		$1,087.16	$1,309.33	$1,461.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,053.51 / $1,347.20 / $1,847.68	Professional		$1,053.51	$1,347.20	$1,847.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,259.78 / $1,823.00 / $9,211.00	Professional		$1,259.78	$1,823.00	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,159.13 / $1,547.40 / $2,870.13	Professional		$1,159.13	$1,547.40	$2,870.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,091.15 / $1,309.38 / $1,614.90	Professional		$1,091.15	$1,309.38	$1,614.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,235.35 / $1,576.36 / $2,140.75	Facility		$1,235.35	$1,576.36	$2,140.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,451.00 / $1,610.00 / $2,677.90	Professional		$1,451.00	$1,610.00	$2,677.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,134.82 / $1,556.93 / $5,562.29	Facility		$1,134.82	$1,556.93	$5,562.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,134.82 / $1,556.93 / $5,562.29	Professional		$1,134.82	$1,556.93	$5,562.29
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,291.00 / $17,187.00	Facility		$5,121.00	$8,291.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $988.81 / $1,531.43 / $2,495.81	Professional		$988.81	$1,531.43	$2,495.81