Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.30 / $5,087.00 / $8,294.00	Facility		$676.30	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.14 / $654.73 / $752.27	Professional		$551.14	$654.73	$752.27
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 $577.53 / $745.73 / $1,035.41	Professional		$577.53	$745.73	$1,035.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $628.52 / $688.70 / $4,284.00	Professional		$628.52	$688.70	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $720.53 / $720.53 / $720.53	Facility		$720.53	$720.53	$720.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.89 / $686.76 / $1,271.54	Professional		$565.89	$686.76	$1,271.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.34 / $746.17 / $888.30	Professional		$671.34	$746.17	$888.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $551.14 / $707.04 / $1,037.38	Facility		$551.14	$707.04	$1,037.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $725.00 / $829.00 / $1,437.00	Professional		$725.00	$829.00	$1,437.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $549.29 / $758.96 / $5,502.98	Facility		$549.29	$758.96	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.29 / $758.96 / $5,502.98	Professional		$549.29	$758.96	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.59 / $622.42 / $1,124.27	Professional		$444.59	$622.42	$1,124.27