Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.65 / $4,546.93 / $8,637.15	Facility		$788.65	$4,546.93	$8,637.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $611.29 / $755.38 / $1,349.74	Professional		$611.29	$755.38	$1,349.74
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 $628.16 / $819.17 / $1,174.46	Professional		$628.16	$819.17	$1,174.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $737.24 / $737.24 / $3,426.00	Professional		$737.24	$737.24	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,120.17 / $1,120.17 / $1,120.17	Facility		$1,120.17	$1,120.17	$1,120.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.13 / $853.09 / $1,501.84	Professional		$642.13	$853.09	$1,501.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.46 / $897.63 / $1,068.60	Professional		$810.46	$897.63	$1,068.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $640.84 / $835.97 / $1,208.70	Facility		$640.84	$835.97	$1,208.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $941.00 / $1,090.00 / $1,560.72	Professional		$941.00	$1,090.00	$1,560.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $664.66 / $881.60 / $3,172.62	Facility		$664.66	$881.60	$3,172.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $743.17 / $982.14 / $3,398.99	Professional		$743.17	$982.14	$3,398.99
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 $588.55 / $790.36 / $1,362.32	Professional		$588.55	$790.36	$1,362.32