Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.50 / $1,118.25 / $1,856.46	Facility		$562.50	$1,118.25	$1,856.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.50 / $615.00 / $637.50	Professional		$562.50	$615.00	$637.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,848.50 / $3,652.50 / $4,612.50	Facility		$2,848.50	$3,652.50	$4,612.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $336.26 / $487.50	Professional		$336.26	$336.26	$487.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,170.00	Professional		$600.00	$600.00	$1,170.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.50 / $1,395.75 / $3,841.36	Facility		$487.50	$1,395.75	$3,841.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $913.65 / $913.65 / $1,094.65	Professional		$913.65	$913.65	$1,094.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $900.00 / $1,110.00	Professional		$750.00	$900.00	$1,110.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $596.25 / $750.00 / $1,166.63	Facility		$596.25	$750.00	$1,166.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,028.00 / $1,485.00 / $1,800.00	Professional		$1,028.00	$1,485.00	$1,800.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $675.00 / $1,203.00	Facility		$63.50	$675.00	$1,203.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $750.00 / $1,203.00	Professional		$63.50	$750.00	$1,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $375.00 / $862.50	Professional		$315.00	$375.00	$862.50