Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.80 / $3,988.00 / $8,003.00	Facility		$838.80	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.82 / $761.86 / $1,434.50	Professional		$605.82	$761.86	$1,434.50
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 $623.90 / $842.69 / $1,202.67	Professional		$623.90	$842.69	$1,202.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $715.52 / $715.52 / $3,426.00	Professional		$715.52	$715.52	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.35 / $1,102.35 / $1,102.35	Facility		$1,102.35	$1,102.35	$1,102.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.33 / $859.78 / $1,525.76	Professional		$639.33	$859.78	$1,525.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.42 / $953.11 / $1,134.65	Professional		$852.42	$953.11	$1,134.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $621.79 / $838.80 / $1,215.67	Facility		$621.79	$838.80	$1,215.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.00 / $1,131.00 / $1,580.00	Professional		$977.00	$1,131.00	$1,580.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.49 / $864.37 / $3,147.19	Facility		$630.49	$864.37	$3,147.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $729.37 / $1,008.90 / $3,440.00	Professional		$729.37	$1,008.90	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.88 / $835.24 / $1,447.31	Professional		$607.88	$835.24	$1,447.31