Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,491.07 / $4,771.00 / $9,539.00	Facility		$1,491.07	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,275.07 / $1,491.07 / $1,657.26	Professional		$1,275.07	$1,491.07	$1,657.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,193.04 / $1,525.63 / $2,092.40	Professional		$1,193.04	$1,525.63	$2,092.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,500.26 / $1,746.43 / $3,040.65	Professional		$1,500.26	$1,746.43	$3,040.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.00 / $1,762.18 / $3,260.84	Professional		$1,313.00	$1,762.18	$3,260.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.00 / $1,483.20 / $1,829.28	Professional		$1,236.00	$1,483.20	$1,829.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,452.88 / $1,829.95 / $2,685.18	Facility		$1,452.88	$1,829.95	$2,685.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,649.00 / $1,838.00 / $3,032.66	Professional		$1,649.00	$1,838.00	$3,032.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,316.83 / $1,743.02 / $3,142.24	Facility		$1,316.83	$1,743.02	$3,142.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,316.83 / $1,743.02 / $3,142.24	Professional		$1,316.83	$1,743.02	$3,142.24
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 $1,123.70 / $1,797.92 / $2,882.72	Professional		$1,123.70	$1,797.92	$2,882.72