Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.56 / $6,146.00 / $14,798.00	Facility		$2,023.56	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,225.80 / $1,565.50 / $2,079.66	Professional		$1,225.80	$1,565.50	$2,079.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,414.23 / $1,816.50 / $2,567.06	Professional		$1,414.23	$1,816.50	$2,567.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,570.50 / $3,062.47 / $6,694.00	Professional		$1,570.50	$3,062.47	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,753.74 / $1,753.74 / $1,753.74	Facility		$1,753.74	$1,753.74	$1,753.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,341.86 / $1,763.68 / $2,881.93	Professional		$1,341.86	$1,763.68	$2,881.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,458.21 / $1,715.54 / $2,202.30	Professional		$1,458.21	$1,715.54	$2,202.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,402.58 / $1,813.16 / $2,780.68	Facility		$1,402.58	$1,813.16	$2,780.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,829.00 / $2,048.00 / $2,982.91	Professional		$1,829.00	$2,048.00	$2,982.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,319.69 / $1,860.05 / $9,210.00	Facility		$1,319.69	$1,860.05	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,319.69 / $1,860.05 / $9,210.00	Professional		$1,319.69	$1,860.05	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,082.53 / $1,507.26 / $2,707.65	Professional		$1,082.53	$1,507.26	$2,707.65