Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $6,146.00 / $14,798.00	Facility		$1,020.00	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $872.59 / $1,020.00 / $1,134.08	Professional		$872.59	$1,020.00	$1,134.08
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 $851.91 / $1,089.40 / $1,494.11	Professional		$851.91	$1,089.40	$1,494.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $995.58 / $1,471.45 / $9,211.00	Professional		$995.58	$1,471.45	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $908.84 / $1,205.45 / $2,239.94	Professional		$908.84	$1,205.45	$2,239.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.10 / $1,044.11 / $1,287.75	Professional		$870.10	$1,044.11	$1,287.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,010.27 / $1,228.71 / $1,768.80	Facility		$1,010.27	$1,228.71	$1,768.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,139.00 / $1,289.00 / $2,165.30	Professional		$1,139.00	$1,289.00	$2,165.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $919.08 / $1,208.05 / $6,585.00	Facility		$919.08	$1,208.05	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $919.08 / $1,208.05 / $6,585.00	Professional		$919.08	$1,208.05	$6,585.00
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 $743.52 / $1,262.98 / $2,008.62	Professional		$743.52	$1,262.98	$2,008.62