Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,274.22 / $4,771.00 / $9,539.00	Facility		$1,274.22	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.78 / $1,274.22 / $1,582.65	Professional		$974.78	$1,274.22	$1,582.65
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 $1,079.01 / $1,379.82 / $1,892.42	Professional		$1,079.01	$1,379.82	$1,892.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,297.83 / $2,594.98	Professional		$794.00	$1,297.83	$2,594.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,128.08 / $1,522.14 / $2,890.55	Professional		$1,128.08	$1,522.14	$2,890.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,321.20 / $1,629.48	Professional		$1,101.00	$1,321.20	$1,629.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,098.33 / $1,546.52 / $2,222.76	Facility		$1,098.33	$1,546.52	$2,222.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,503.08 / $1,693.00 / $2,727.00	Professional		$1,503.08	$1,693.00	$2,727.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,162.71 / $1,515.18 / $4,283.00	Facility		$1,162.71	$1,515.18	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,162.71 / $1,515.18 / $4,283.00	Professional		$1,162.71	$1,515.18	$4,283.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $959.48 / $1,566.15 / $2,407.10	Professional		$959.48	$1,566.15	$2,407.10