Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.09 / $4,771.00 / $9,539.00	Facility		$1,101.09	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $888.08 / $1,101.09 / $1,286.50	Professional		$888.08	$1,101.09	$1,286.50
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 $919.11 / $1,189.22 / $1,966.13	Professional		$919.11	$1,189.22	$1,966.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,131.94 / $1,131.94 / $2,139.37	Professional		$1,131.94	$1,131.94	$2,139.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,132.69	Facility		$640.00	$640.00	$1,132.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $897.27 / $1,188.57 / $2,203.37	Professional		$897.27	$1,188.57	$2,203.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $947.65 / $1,226.36 / $1,449.34	Professional		$947.65	$1,226.36	$1,449.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $970.00 / $1,268.16 / $1,901.41	Facility		$970.00	$1,268.16	$1,901.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,147.65 / $1,343.00 / $1,833.00	Professional		$1,147.65	$1,343.00	$1,833.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $938.11 / $1,216.89 / $2,314.60	Facility		$938.11	$1,216.89	$2,314.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $938.11 / $1,216.89 / $2,314.60	Professional		$938.11	$1,216.89	$2,314.60
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 $711.20 / $1,098.30 / $1,857.06	Professional		$711.20	$1,098.30	$1,857.06