Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.15 / $5,087.00 / $8,294.00	Facility		$1,062.15	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $908.59 / $1,054.22 / $1,311.44	Professional		$908.59	$1,054.22	$1,311.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.06 / $1,092.15 / $1,497.88	Professional		$854.06	$1,092.15	$1,497.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,024.07 / $1,481.21 / $3,426.00	Professional		$1,024.07	$1,481.21	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $951.36 / $1,266.70 / $2,312.02	Professional		$951.36	$1,266.70	$2,312.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $884.52 / $1,061.42 / $1,309.08	Professional		$884.52	$1,061.42	$1,309.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,016.02 / $1,293.81 / $1,897.65	Facility		$1,016.02	$1,293.81	$1,897.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,220.00 / $1,341.00 / $2,171.46	Professional		$1,220.00	$1,341.00	$2,171.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $983.18 / $1,272.34 / $5,122.00	Facility		$983.18	$1,272.34	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $983.18 / $1,272.34 / $5,122.00	Professional		$983.18	$1,272.34	$5,122.00
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 $812.81 / $1,343.65 / $2,043.91	Professional		$812.81	$1,343.65	$2,043.91