Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,165.95 / $15,488.17	Facility		$1,380.38	$6,165.95	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,238.72	Professional		$1,023.29	$1,258.93	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $16,218.10 / $21,877.62	Facility		$10,471.29	$16,218.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,238.72	Professional		$1,174.90	$1,584.89	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,041.74	Professional		$1,258.93	$1,584.89	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $2,570.40	Professional		$1,096.48	$1,584.89	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,235.94	Professional		$1,047.13	$1,318.26	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,884.03	Professional		$1,698.24	$2,137.96	$2,884.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,570.40	Facility		$1,096.48	$1,698.24	$2,570.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $5,495.41	Facility		$1,174.90	$1,659.59	$5,495.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $5,495.41	Professional		$1,174.90	$1,659.59	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $2,570.40	Professional		$1,000.00	$1,584.89	$2,570.40