Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $10,000.00	Facility		$1,122.02	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $3,235.94	Professional		$758.58	$977.24	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,698.24	Professional		$794.33	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $3,548.13 / $5,495.41	Professional		$812.83	$3,548.13	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,621.81	Professional		$758.58	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,096.48	Professional		$724.44	$851.14	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,174.90	Professional		$977.24	$1,096.48	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,621.81	Facility		$758.58	$1,047.13	$1,621.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,096.48 / $8,709.64	Facility		$676.08	$1,096.48	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $8,709.64	Professional		$676.08	$1,096.48	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,513.56	Professional		$616.60	$831.76	$1,513.56