Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.63 / $5,087.00 / $8,920.00	Facility		$1,087.63	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.65 / $1,052.90 / $1,087.63	Professional		$804.65	$1,052.90	$1,087.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.01 / $986.57 / $1,355.15	Professional		$767.01	$986.57	$1,355.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,117.55 / $1,997.00 / $3,472.00	Professional		$1,117.55	$1,997.00	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $986.46 / $986.46 / $986.46	Facility		$986.46	$986.46	$986.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,805.78 / $3,805.78 / $3,805.78	Professional		$3,805.78	$3,805.78	$3,805.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.91 / $890.48 / $1,132.98	Professional		$756.91	$890.48	$1,132.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $818.96 / $1,087.63 / $1,656.46	Facility		$818.96	$1,087.63	$1,656.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,110.00 / $1,534.72 / $2,040.19	Professional		$1,110.00	$1,534.72	$2,040.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $918.20 / $1,232.13 / $8,098.00	Facility		$918.20	$1,232.13	$8,098.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $918.20 / $1,232.13 / $8,098.00	Professional		$918.20	$1,232.13	$8,098.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $777.97 / $1,050.13 / $1,729.63	Professional		$777.97	$1,050.13	$1,729.63