Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $5,048.00 / $10,767.00	Facility		$26.94	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $192.80 / $303.87	Professional		$26.94	$192.80	$303.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $294.32 / $486.59	Professional		$230.15	$294.32	$486.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $910.00 / $5,118.00	Professional		$676.00	$910.00	$5,118.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.94 / $345.94 / $640.00	Facility		$345.94	$345.94	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.61 / $1,058.61 / $1,058.61	Professional		$1,058.61	$1,058.61	$1,058.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.68 / $373.19 / $431.67	Professional		$291.68	$373.19	$431.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $304.13 / $487.43	Facility		$26.94	$304.13	$487.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $456.85 / $646.55	Professional		$364.00	$456.85	$646.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $265.08 / $304.58 / $436.56	Facility		$265.08	$304.58	$436.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $265.08 / $304.58 / $436.56	Professional		$265.08	$304.58	$436.56
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $260.39 / $519.24	Professional		$21.89	$260.39	$519.24