Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,235.94 / $8,912.51	Facility		$676.08	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,202.26	Professional		$562.34	$758.58	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,412.54	Professional		$660.69	$977.24	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $3,890.45 / $5,623.41	Professional		$676.08	$3,890.45	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $1,122.02	Facility		$34.67	$34.67	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,621.81	Professional		$645.65	$891.25	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,174.90	Professional		$758.58	$977.24	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,174.90	Professional		$776.25	$776.25	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $851.14 / $1,318.26	Facility		$602.56	$851.14	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $8,709.64	Facility		$588.84	$891.25	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $8,709.64	Professional		$707.95	$1,122.02	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,479.11	Professional		$562.34	$831.76	$1,479.11