Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,754.54 / $6,146.00 / $14,798.00	Facility		$1,754.54	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,497.54 / $1,751.34 / $1,947.79	Professional		$1,497.54	$1,751.34	$1,947.79
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 $1,465.64 / $1,874.22 / $2,570.48	Professional		$1,465.64	$1,874.22	$2,570.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,710.91 / $2,541.77 / $9,211.00	Professional		$1,710.91	$2,541.77	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,569.53 / $2,069.76 / $3,842.43	Professional		$1,569.53	$2,069.76	$3,842.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,506.36 / $1,807.63 / $2,229.41	Professional		$1,506.36	$1,807.63	$2,229.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,747.75 / $2,124.54 / $3,166.64	Facility		$1,747.75	$2,124.54	$3,166.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,937.00 / $2,205.00 / $3,724.97	Professional		$1,937.00	$2,205.00	$3,724.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,588.18 / $2,075.52 / $7,295.53	Facility		$1,588.18	$2,075.52	$7,295.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,588.18 / $2,075.52 / $7,295.53	Professional		$1,588.18	$2,075.52	$7,295.53
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,275.44 / $2,142.94 / $3,199.76	Professional		$1,275.44	$2,142.94	$3,199.76