Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $5,412.00 / $10,767.00	Facility		$1,749.00	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.38 / $1,375.82 / $1,801.50	Professional		$1,075.38	$1,375.82	$1,801.50
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 $1,234.85 / $1,604.11 / $2,266.91	Professional		$1,234.85	$1,604.11	$2,266.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,355.12 / $2,642.48 / $6,694.00	Professional		$1,355.12	$2,642.48	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.69 / $1,548.69 / $1,548.69	Facility		$1,548.69	$1,548.69	$1,548.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,119.98 / $1,557.46 / $2,529.13	Professional		$1,119.98	$1,557.46	$2,529.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.36 / $1,513.38 / $1,932.33	Professional		$1,286.36	$1,513.38	$1,932.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,178.58 / $1,541.02 / $2,449.73	Facility		$1,178.58	$1,541.02	$2,449.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,523.00 / $1,736.00 / $2,638.93	Professional		$1,523.00	$1,736.00	$2,638.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,121.60 / $1,622.88 / $9,210.00	Facility		$1,121.60	$1,622.88	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,121.60 / $1,622.88 / $9,210.00	Professional		$1,121.60	$1,622.88	$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 $900.91 / $1,257.43 / $2,262.79	Professional		$900.91	$1,257.43	$2,262.79