Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,536.63 / $5,087.00 / $8,294.00	Facility		$1,536.63	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,281.26 / $1,536.63 / $1,938.12	Professional		$1,281.26	$1,536.63	$1,938.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,266.80 / $1,619.95 / $2,678.26	Professional		$1,266.80	$1,619.95	$2,678.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,624.29 / $3,069.91	Professional		$916.00	$1,624.29	$3,069.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,553.88	Facility		$640.00	$640.00	$1,553.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.67 / $1,728.52 / $3,086.26	Professional		$1,295.67	$1,728.52	$3,086.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.77 / $1,667.55 / $1,958.58	Professional		$1,302.77	$1,667.55	$1,958.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,340.99 / $1,797.86 / $2,590.40	Facility		$1,340.99	$1,797.86	$2,590.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,733.00 / $1,959.00 / $2,606.00	Professional		$1,733.00	$1,959.00	$2,606.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,307.86 / $1,801.73 / $5,880.14	Facility		$1,307.86	$1,801.73	$5,880.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,307.86 / $1,801.73 / $5,880.14	Professional		$1,307.86	$1,801.73	$5,880.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,060.35 / $1,637.59 / $2,566.26	Professional		$1,060.35	$1,637.59	$2,566.26