Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.25 / $1,376.05 / $1,794.58	Facility		$616.25	$1,376.05	$1,794.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $616.25 / $616.25	Professional		$543.75	$616.25	$616.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,753.55 / $3,530.75 / $4,458.75	Facility		$2,753.55	$3,530.75	$4,458.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $255.08 / $425.83	Professional		$255.08	$255.08	$425.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $580.00 / $652.50 / $1,272.38	Professional		$580.00	$652.50	$1,272.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.25 / $1,598.02 / $3,713.84	Facility		$471.25	$1,598.02	$3,713.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.00 / $883.00 / $1,057.94	Professional		$883.00	$883.00	$1,057.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $870.00 / $1,073.00	Professional		$725.00	$870.00	$1,073.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $576.38 / $725.00 / $1,232.50	Facility		$576.38	$725.00	$1,232.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $993.00 / $1,268.75 / $1,740.00	Professional		$993.00	$1,268.75	$1,740.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $507.50 / $804.61 / $1,346.04	Facility		$507.50	$804.61	$1,346.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $824.33 / $1,346.04	Professional		$507.50	$824.33	$1,346.04
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $377.00 / $986.94	Professional		$304.50	$377.00	$986.94