Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.89 / $5,360.00 / $9,975.00	Facility		$879.89	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $690.22 / $818.01 / $992.46	Professional		$690.22	$818.01	$992.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.15 / $937.19 / $1,294.68	Professional		$722.15	$937.19	$1,294.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $855.46 / $902.65 / $5,036.00	Professional		$855.46	$902.65	$5,036.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $901.69 / $901.69 / $901.69	Facility		$901.69	$901.69	$901.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.75 / $895.76 / $1,591.09	Professional		$748.75	$895.76	$1,591.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $839.85 / $932.21 / $1,109.78	Professional		$839.85	$932.21	$1,109.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $704.82 / $899.60 / $1,373.98	Facility		$704.82	$899.60	$1,373.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,088.00 / $1,868.23	Professional		$960.00	$1,088.00	$1,868.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $761.42 / $967.66 / $7,030.19	Facility		$761.42	$967.66	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $761.42 / $967.66 / $7,030.19	Professional		$761.42	$967.66	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $569.12 / $824.63 / $1,424.25	Professional		$569.12	$824.63	$1,424.25