Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.53 / $4,771.00 / $9,539.00	Facility		$1,421.53	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.14 / $1,421.53 / $1,731.88	Professional		$1,215.14	$1,421.53	$1,731.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,738.20 / $20,977.18 / $29,216.95	Facility		$12,738.20	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.10 / $1,529.56 / $2,097.79	Professional		$1,196.10	$1,529.56	$2,097.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,532.16 / $1,777.29 / $3,094.40	Professional		$1,532.16	$1,777.29	$3,094.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,205.08 / $1,679.99 / $3,184.63	Professional		$1,205.08	$1,679.99	$3,184.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,201.32 / $1,441.58 / $1,781.68	Professional		$1,201.32	$1,441.58	$1,781.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,336.58 / $1,685.13 / $2,402.39	Facility		$1,336.58	$1,685.13	$2,402.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,462.00 / $1,783.00 / $2,950.46	Professional		$1,462.00	$1,783.00	$2,950.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,209.45 / $1,654.76 / $3,164.13	Facility		$1,209.45	$1,654.76	$3,164.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,209.45 / $1,654.76 / $3,164.13	Professional		$1,209.45	$1,654.76	$3,164.13
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 $1,037.00 / $1,553.11 / $2,761.83	Professional		$1,037.00	$1,553.11	$2,761.83