Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.94 / $3,912.00 / $8,294.00	Facility		$457.94	$3,912.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.34 / $468.41 / $589.98	Professional		$375.34	$468.41	$589.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.13 / $426.01 / $704.32	Professional		$333.13	$426.01	$704.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $406.65 / $464.15 / $5,113.00	Professional		$406.65	$464.15	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $612.22 / $612.22 / $640.00	Facility		$612.22	$612.22	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.74 / $554.91 / $977.41	Professional		$384.74	$554.91	$977.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $441.26 / $565.10 / $667.85	Professional		$441.26	$565.10	$667.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $428.06 / $598.52 / $934.57	Facility		$428.06	$598.52	$934.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.00 / $709.00 / $911.00	Professional		$602.00	$709.00	$911.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $361.55 / $502.07 / $1,770.00	Facility		$361.55	$502.07	$1,770.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $442.98 / $620.37 / $2,133.62	Professional		$442.98	$620.37	$2,133.62
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 $380.00 / $590.45 / $953.10	Professional		$380.00	$590.45	$953.10