Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $5,048.00 / $10,767.00	Facility		$308.45	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $215.20 / $308.45	Professional		$185.23	$215.20	$308.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.12 / $360.77 / $596.46	Professional		$282.12	$360.77	$596.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $257.73 / $4,646.00	Professional		$257.73	$257.73	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.15 / $205.15 / $1,700.00	Facility		$205.15	$205.15	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.43 / $1,027.43 / $1,027.43	Professional		$1,027.43	$1,027.43	$1,027.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $145.68 / $168.48	Professional		$113.84	$145.68	$168.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $192.02 / $336.22 / $469.78	Facility		$192.02	$336.22	$469.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $331.00 / $424.34	Professional		$279.00	$331.00	$424.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $200.62 / $351.25 / $7,030.19	Facility		$200.62	$351.25	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $351.25 / $7,030.19	Professional		$200.62	$351.25	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $337.55 / $551.07	Professional		$212.05	$337.55	$551.07