Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.32 / $4,691.00 / $8,294.00	Facility		$852.32	$4,691.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.36 / $852.32 / $1,152.89	Professional		$694.36	$852.32	$1,152.89
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 $705.46 / $932.08 / $1,312.89	Professional		$705.46	$932.08	$1,312.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $836.97 / $836.97 / $4,284.00	Professional		$836.97	$836.97	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,223.23 / $1,223.23 / $1,223.23	Facility		$1,223.23	$1,223.23	$1,223.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.61 / $958.37 / $1,706.22	Professional		$708.61	$958.37	$1,706.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.97 / $1,000.65 / $1,191.25	Professional		$902.97	$1,000.65	$1,191.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $696.04 / $929.80 / $1,375.16	Facility		$696.04	$929.80	$1,375.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,111.00 / $1,281.00 / $1,802.00	Professional		$1,111.00	$1,281.00	$1,802.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $736.43 / $974.92 / $3,398.99	Facility		$736.43	$974.92	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $811.25 / $1,133.76 / $3,440.00	Professional		$811.25	$1,133.76	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.54 / $953.62 / $1,608.54	Professional		$695.54	$953.62	$1,608.54