Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.92 / $5,412.00 / $14,796.00	Facility		$714.92	$5,412.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.23 / $623.65 / $782.14	Professional		$508.23	$623.65	$782.14
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 $470.51 / $601.67 / $994.75	Professional		$470.51	$601.67	$994.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $582.34 / $627.29 / $12,325.00	Professional		$582.34	$627.29	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $838.97 / $838.97 / $1,200.00	Facility		$838.97	$838.97	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.04 / $739.74 / $1,316.01	Professional		$524.04	$739.74	$1,316.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.01 / $816.61 / $965.08	Professional		$631.01	$816.61	$965.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $573.75 / $774.02 / $1,205.15	Facility		$573.75	$774.02	$1,205.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $747.00 / $889.00 / $1,242.00	Professional		$747.00	$889.00	$1,242.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $489.17 / $654.01 / $2,270.60	Facility		$489.17	$654.01	$2,270.60
Sentara Facility/Professional Professional Modifier Low / Median / High Price $580.51 / $833.61 / $2,908.79	Professional		$580.51	$833.61	$2,908.79
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 $497.11 / $823.85 / $1,276.79	Professional		$497.11	$823.85	$1,276.79