Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.20 / $3,645.00 / $8,294.00	Facility		$860.20	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.52 / $768.97 / $1,075.71	Professional		$669.52	$768.97	$1,075.71
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 $682.56 / $872.85 / $1,443.08	Professional		$682.56	$872.85	$1,443.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $813.57 / $828.65 / $4,039.00	Professional		$813.57	$828.65	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $833.95	Facility		$572.00	$572.00	$833.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.21 / $929.86 / $1,639.36	Professional		$712.21	$929.86	$1,639.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.34 / $910.52 / $1,059.47	Professional		$711.34	$910.52	$1,059.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $760.54 / $979.95 / $1,456.00	Facility		$760.54	$979.95	$1,456.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $945.00 / $1,061.00 / $1,499.00	Professional		$945.00	$1,061.00	$1,499.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $711.35 / $949.71 / $3,190.88	Facility		$711.35	$949.71	$3,190.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $711.35 / $949.71 / $3,190.88	Professional		$711.35	$949.71	$3,190.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.84 / $887.74 / $1,403.32	Professional		$554.84	$887.74	$1,403.32