Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,409.28 / $4,771.00 / $9,539.00	Facility		$1,409.28	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,211.31 / $1,409.28 / $1,575.02	Professional		$1,211.31	$1,409.28	$1,575.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.95 / $1,451.35 / $1,990.52	Professional		$1,134.95	$1,451.35	$1,990.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,428.84 / $1,662.17 / $2,893.96	Professional		$1,428.84	$1,662.17	$2,893.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.15 / $1,665.51 / $3,088.94	Professional		$1,249.15	$1,665.51	$3,088.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,175.90 / $1,411.08 / $1,740.33	Professional		$1,175.90	$1,411.08	$1,740.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,382.64 / $1,666.74 / $2,493.23	Facility		$1,382.64	$1,666.74	$2,493.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,561.00 / $1,767.65 / $2,885.21	Professional		$1,561.00	$1,767.65	$2,885.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,280.10 / $1,675.77 / $6,585.00	Facility		$1,280.10	$1,675.77	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,280.10 / $1,675.77 / $6,585.00	Professional		$1,280.10	$1,675.77	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.53 / $1,747.12 / $2,730.74	Professional		$1,029.53	$1,747.12	$2,730.74