Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.52 / $6,146.00 / $14,798.00	Facility		$1,123.52	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $940.84 / $1,123.52 / $1,227.75	Professional		$940.84	$1,123.52	$1,227.75
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 $917.37 / $1,173.10 / $1,608.92	Professional		$917.37	$1,173.10	$1,608.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,064.27 / $1,566.50 / $9,211.00	Professional		$1,064.27	$1,566.50	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $974.13 / $1,327.79 / $2,450.37	Professional		$974.13	$1,327.79	$2,450.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $938.60 / $1,126.32 / $1,389.13	Professional		$938.60	$1,126.32	$1,389.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,082.84 / $1,348.00 / $2,001.36	Facility		$1,082.84	$1,348.00	$2,001.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,272.00 / $1,430.00 / $2,329.42	Professional		$1,272.00	$1,430.00	$2,329.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,010.84 / $1,335.97 / $6,585.00	Facility		$1,010.84	$1,335.97	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,010.84 / $1,335.97 / $6,585.00	Professional		$1,010.84	$1,335.97	$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 $813.37 / $1,373.66 / $2,166.23	Professional		$813.37	$1,373.66	$2,166.23