Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,350.41 / $5,980.00 / $14,867.45	Facility		$1,350.41	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.10 / $1,350.41 / $1,695.30	Professional		$1,202.10	$1,350.41	$1,695.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,087.01 / $1,390.04 / $1,906.43	Professional		$1,087.01	$1,390.04	$1,906.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,369.38 / $2,771.59	Professional		$794.00	$1,369.38	$2,771.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.11 / $1,643.44 / $2,958.80	Professional		$1,196.11	$1,643.44	$2,958.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,125.97 / $1,351.16 / $1,666.44	Professional		$1,125.97	$1,351.16	$1,666.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,322.95 / $1,650.42 / $2,432.10	Facility		$1,322.95	$1,650.42	$2,432.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,496.00 / $1,700.00 / $2,763.29	Professional		$1,496.00	$1,700.00	$2,763.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,226.83 / $1,605.77 / $5,616.06	Facility		$1,226.83	$1,605.77	$5,616.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,226.83 / $1,605.77 / $5,616.06	Professional		$1,226.83	$1,605.77	$5,616.06
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $996.07 / $1,593.71 / $2,615.71	Professional		$996.07	$1,593.71	$2,615.71