Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,365.16 / $8,317.64	Facility		$588.84	$4,365.16	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,000.00	Professional		$436.52	$524.81	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,023.29	Professional		$512.86	$707.95	$1,023.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,570.40 / $3,548.13	Professional		$512.86	$2,570.40	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,862.09	Facility		$851.14	$851.14	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $1,096.48	Professional		$489.78	$645.65	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $831.76	Professional		$537.03	$707.95	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $758.58	Professional		$645.65	$645.65	$758.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $933.25	Facility		$457.09	$616.60	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $4,073.80	Facility		$446.68	$676.08	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $4,073.80	Professional		$501.19	$758.58	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,000.00	Professional		$389.05	$562.34	$1,000.00