Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $9,549.93	Facility		$891.25	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,621.81	Professional		$891.25	$1,071.52	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,877.62	Facility		$8,709.64	$16,218.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,949.84	Professional		$1,023.29	$1,380.38	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,737.80	Professional		$1,096.48	$1,380.38	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,238.72	Professional		$954.99	$1,348.96	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $2,818.38	Professional		$912.01	$1,122.02	$2,818.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,511.89	Professional		$1,412.54	$1,778.28	$2,511.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,137.96	Facility		$954.99	$1,445.44	$2,137.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $10,000.00	Facility		$1,000.00	$1,412.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $10,000.00	Professional		$1,000.00	$1,412.54	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,137.96	Professional		$870.96	$1,348.96	$2,137.96