Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.93 / $4,771.00 / $9,539.00	Facility		$1,620.93	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.95 / $1,510.67 / $1,869.38	Professional		$1,262.95	$1,510.67	$1,869.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,527.62 / $13,270.04	Facility		$6,385.00	$9,527.62	$13,270.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,332.80 / $1,724.48 / $2,851.08	Professional		$1,332.80	$1,724.48	$2,851.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,617.16 / $1,617.16 / $3,056.43	Professional		$1,617.16	$1,617.16	$3,056.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,644.17	Facility		$640.00	$640.00	$1,644.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.96 / $1,725.67 / $3,218.64	Professional		$1,313.96	$1,725.67	$3,218.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.97 / $1,771.61 / $2,093.71	Professional		$1,368.97	$1,771.61	$2,093.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,834.13 / $2,749.39	Facility		$1,426.00	$1,834.13	$2,749.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,606.00 / $1,977.68 / $2,655.40	Professional		$1,606.00	$1,977.68	$2,655.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,343.93 / $1,739.81 / $3,381.53	Facility		$1,343.93	$1,739.81	$3,381.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,343.93 / $1,739.81 / $3,381.53	Professional		$1,343.93	$1,739.81	$3,381.53
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 $1,070.16 / $1,695.81 / $2,756.57	Professional		$1,070.16	$1,695.81	$2,756.57