Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,241.05 / $4,771.00 / $9,539.00	Facility		$1,241.05	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,067.84 / $1,241.05 / $1,543.15	Professional		$1,067.84	$1,241.05	$1,543.15
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 $1,002.50 / $1,281.97 / $1,758.22	Professional		$1,002.50	$1,281.97	$1,758.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,263.58 / $1,468.02 / $2,555.92	Professional		$1,263.58	$1,468.02	$2,555.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.61 / $1,466.70 / $2,723.67	Professional		$1,101.61	$1,466.70	$2,723.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.77 / $1,246.52 / $1,537.38	Professional		$1,038.77	$1,246.52	$1,537.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,221.45 / $1,524.43 / $2,235.54	Facility		$1,221.45	$1,524.43	$2,235.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,379.00 / $1,525.00 / $2,548.69	Professional		$1,379.00	$1,525.00	$2,548.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,075.86 / $1,452.76 / $2,625.17	Facility		$1,075.86	$1,452.76	$2,625.17
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,075.86 / $1,452.76 / $2,625.17	Professional		$1,075.86	$1,452.76	$2,625.17
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $912.92 / $1,391.80 / $2,371.82	Professional		$912.92	$1,391.80	$2,371.82