Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.38 / $4,771.00 / $9,539.00	Facility		$1,170.38	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.13 / $1,170.38 / $1,329.87	Professional		$894.13	$1,170.38	$1,329.87
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 $990.51 / $1,266.64 / $1,737.19	Professional		$990.51	$1,266.64	$1,737.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,253.54 / $1,444.86 / $2,515.60	Professional		$1,253.54	$1,444.86	$2,515.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,036.78 / $1,384.21 / $2,656.82	Professional		$1,036.78	$1,384.21	$2,656.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.49 / $1,213.79 / $1,497.01	Professional		$1,011.49	$1,213.79	$1,497.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,008.06 / $1,418.40 / $2,004.31	Facility		$1,008.06	$1,418.40	$2,004.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,478.00 / $2,503.15	Professional		$1,296.00	$1,478.00	$2,503.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,066.96 / $1,391.70 / $5,122.00	Facility		$1,066.96	$1,391.70	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,066.96 / $1,391.70 / $5,122.00	Professional		$1,066.96	$1,391.70	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $881.90 / $1,441.52 / $2,212.46	Professional		$881.90	$1,441.52	$2,212.46