Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,570.17 / $4,771.00 / $9,539.00	Facility		$1,570.17	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.24 / $1,570.17 / $1,841.78	Professional		$1,289.24	$1,570.17	$1,841.78
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 $1,327.03 / $1,696.97 / $2,805.60	Professional		$1,327.03	$1,696.97	$2,805.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,678.83 / $1,678.83 / $3,172.99	Professional		$1,678.83	$1,678.83	$3,172.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $1,621.57 / $1,700.00	Facility		$1,621.57	$1,621.57	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,334.95 / $1,729.74 / $3,131.54	Professional		$1,334.95	$1,729.74	$3,131.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,344.97 / $1,740.55 / $2,057.02	Professional		$1,344.97	$1,740.55	$2,057.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,445.85 / $1,837.10 / $2,763.05	Facility		$1,445.85	$1,837.10	$2,763.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,670.00 / $1,989.00 / $2,683.00	Professional		$1,670.00	$1,989.00	$2,683.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,333.94 / $1,767.73 / $3,290.01	Facility		$1,333.94	$1,767.73	$3,290.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,333.94 / $1,767.73 / $3,290.01	Professional		$1,333.94	$1,767.73	$3,290.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $2,959.00 / $5,226.00	Facility		$1,275.00	$2,959.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,048.18 / $1,633.99 / $2,651.18	Professional		$1,048.18	$1,633.99	$2,651.18