Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.30 / $3,633.00 / $8,920.00	Facility		$944.30	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $857.20 / $1,047.45 / $1,680.85	Professional		$857.20	$1,047.45	$1,680.85
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 $882.94 / $1,129.08 / $1,548.54	Professional		$882.94	$1,129.08	$1,548.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $997.07 / $1,121.95 / $1,944.29	Professional		$997.07	$1,121.95	$1,944.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $863.81 / $1,207.83 / $2,340.03	Professional		$863.81	$1,207.83	$2,340.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.58 / $1,063.90 / $1,312.14	Professional		$886.58	$1,063.90	$1,312.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $944.30 / $1,245.99 / $1,728.07	Facility		$944.30	$1,245.99	$1,728.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,114.00 / $1,304.00 / $2,195.86	Professional		$1,114.00	$1,304.00	$2,195.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $900.01 / $1,198.40 / $2,327.50	Facility		$900.01	$1,198.40	$2,327.50
Sentara Facility/Professional Professional Modifier Low / Median / High Price $900.01 / $1,198.40 / $2,327.50	Professional		$900.01	$1,198.40	$2,327.50
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 $776.74 / $1,252.50 / $2,068.69	Professional		$776.74	$1,252.50	$2,068.69