Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.54 / $4,771.00 / $9,539.00	Facility		$1,054.54	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.43 / $1,054.54 / $1,260.21	Professional		$800.43	$1,054.54	$1,260.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.94 / $1,134.20 / $1,555.55	Professional		$886.94	$1,134.20	$1,555.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,121.90 / $1,299.07 / $2,261.77	Professional		$1,121.90	$1,299.07	$2,261.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.50 / $1,246.27 / $2,356.54	Professional		$910.50	$1,246.27	$2,356.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.36 / $1,087.63 / $1,341.41	Professional		$906.36	$1,087.63	$1,341.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $864.18 / $1,218.15 / $1,722.73	Facility		$864.18	$1,218.15	$1,722.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,328.00 / $2,241.50	Professional		$1,160.00	$1,328.00	$2,241.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $976.75 / $1,240.47 / $2,386.59	Facility		$976.75	$1,240.47	$2,386.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $976.75 / $1,240.47 / $2,386.59	Professional		$976.75	$1,240.47	$2,386.59
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 $782.22 / $1,198.50 / $2,083.29	Professional		$782.22	$1,198.50	$2,083.29