Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.68 / $4,796.00 / $9,539.00	Facility		$1,720.68	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,394.75 / $1,720.68 / $2,061.08	Professional		$1,394.75	$1,720.68	$2,061.08
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 $1,349.46 / $1,725.66 / $2,853.03	Professional		$1,349.46	$1,725.66	$2,853.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,769.26 / $1,769.26 / $3,343.90	Professional		$1,769.26	$1,769.26	$3,343.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,657.43	Facility		$640.00	$640.00	$1,657.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.79 / $1,888.63 / $3,282.95	Professional		$1,412.79	$1,888.63	$3,282.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,387.16 / $1,775.56 / $2,083.39	Professional		$1,387.16	$1,775.56	$2,083.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,533.71 / $1,994.93 / $2,948.45	Facility		$1,533.71	$1,994.93	$2,948.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,868.00 / $2,116.00 / $2,856.00	Professional		$1,868.00	$2,116.00	$2,856.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,393.11 / $1,925.93 / $3,594.59	Facility		$1,393.11	$1,925.93	$3,594.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,393.11 / $1,925.93 / $3,594.59	Professional		$1,393.11	$1,925.93	$3,594.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.00 / $3,295.00 / $5,790.00	Facility		$1,584.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,149.08 / $1,857.25 / $2,865.35	Professional		$1,149.08	$1,857.25	$2,865.35