Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,630.78 / $9,549.93	Facility		$1,348.96	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $2,290.87	Professional		$1,202.26	$1,445.44	$2,290.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,595.87 / $22,908.68	Facility		$8,709.64	$16,595.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,290.87	Professional		$1,202.26	$1,621.81	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,089.30	Professional		$1,288.25	$1,621.81	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,570.40	Professional		$1,202.26	$1,621.81	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $3,388.44	Professional		$1,122.02	$1,380.38	$3,388.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,951.21	Professional		$1,621.81	$2,041.74	$2,951.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,630.27	Facility		$1,258.93	$1,819.70	$2,630.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $5,623.41	Facility		$1,148.15	$1,698.24	$5,623.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $5,623.41	Professional		$1,148.15	$1,698.24	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $3,981.07	Facility		$1,071.52	$2,089.30	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,691.53	Professional		$1,047.13	$1,584.89	$2,691.53