Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $1,803.10 / $3,401.00	Facility		$712.50	$1,803.10	$3,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $779.00 / $807.50	Professional		$712.50	$779.00	$807.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $4,669.25	Facility		$950.00	$950.00	$4,669.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $607.27	Professional		$380.00	$380.00	$607.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $855.00 / $1,667.25	Professional		$760.00	$855.00	$1,667.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $1,775.14 / $4,866.27	Facility		$617.50	$1,775.14	$4,866.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.75 / $1,157.05 / $1,386.28	Professional		$555.75	$1,157.05	$1,386.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,140.00 / $1,406.00	Professional		$950.00	$1,140.00	$1,406.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $790.88 / $1,092.50 / $1,707.15	Facility		$790.88	$1,092.50	$1,707.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,645.63 / $2,280.00	Professional		$950.00	$1,645.63	$2,280.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $665.10 / $950.00 / $1,395.77	Facility		$665.10	$950.00	$1,395.77
Sentara Facility/Professional Professional Modifier Low / Median / High Price $665.10 / $950.00 / $1,395.77	Professional		$665.10	$950.00	$1,395.77
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $494.00 / $1,092.50	Professional		$399.00	$494.00	$1,092.50