Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,128.61 / $15,135.61	Facility		$912.01	$5,128.61	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $812.83 / $1,513.56	Professional		$457.09	$812.83	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,412.54	Professional		$691.83	$912.01	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $7,079.46	Professional		$724.44	$831.76	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $4,073.80	Professional		$1,122.02	$1,348.96	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,023.29 / $1,479.11	Professional		$851.14	$1,023.29	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $912.01 / $1,513.56	Facility		$630.96	$912.01	$1,513.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $7,413.10	Facility		$562.34	$1,000.00	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,000.00 / $7,413.10	Professional		$562.34	$1,000.00	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,317.64 / $19,054.61	Facility		$1,318.26	$8,317.64	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $724.44 / $1,202.26	Professional		$251.19	$724.44	$1,202.26