Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,506.23 / $4,771.00 / $9,539.00	Facility		$1,506.23	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,301.99 / $1,506.23 / $1,691.89	Professional		$1,301.99	$1,506.23	$1,691.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,309.00 / $15,540.08 / $21,693.86	Facility		$9,309.00	$15,540.08	$21,693.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,218.84 / $1,558.64 / $2,137.67	Professional		$1,218.84	$1,558.64	$2,137.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,533.90 / $1,785.67 / $3,108.98	Professional		$1,533.90	$1,785.67	$3,108.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.86 / $1,798.29 / $3,322.26	Professional		$1,341.86	$1,798.29	$3,322.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,263.16 / $1,515.79 / $1,869.48	Professional		$1,263.16	$1,515.79	$1,869.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,484.57 / $1,860.48 / $2,719.72	Facility		$1,484.57	$1,860.48	$2,719.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,678.00 / $1,862.00 / $3,098.57	Professional		$1,678.00	$1,862.00	$3,098.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,308.26 / $1,790.91 / $3,201.45	Facility		$1,308.26	$1,790.91	$3,201.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,308.26 / $1,790.91 / $3,201.45	Professional		$1,308.26	$1,790.91	$3,201.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $7,044.00	Facility		$1,547.00	$3,130.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,164.58 / $1,785.71 / $2,888.52	Professional		$1,164.58	$1,785.71	$2,888.52