Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.90 / $5,087.00 / $8,294.00	Facility		$1,279.90	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,062.81 / $1,279.90 / $1,601.19	Professional		$1,062.81	$1,279.90	$1,601.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.96 / $1,355.46 / $1,859.01	Professional		$1,059.96	$1,355.46	$1,859.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,229.45 / $1,731.64 / $4,716.00	Professional		$1,229.45	$1,731.64	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,076.17 / $1,498.69 / $2,819.42	Professional		$1,076.17	$1,498.69	$2,819.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,066.64 / $1,279.97 / $1,582.61	Professional		$1,066.64	$1,279.97	$1,582.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,186.35 / $1,494.26 / $2,160.30	Facility		$1,186.35	$1,494.26	$2,160.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,346.63 / $1,577.00 / $2,616.38	Professional		$1,346.63	$1,577.00	$2,616.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,084.90 / $1,452.71 / $4,283.00	Facility		$1,084.90	$1,452.71	$4,283.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,084.90 / $1,452.71 / $4,283.00	Professional		$1,084.90	$1,452.71	$4,283.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.08 / $1,453.37 / $2,445.11	Professional		$918.08	$1,453.37	$2,445.11