Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.15 / $5,480.00 / $14,798.00	Facility		$699.15	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $548.49 / $697.08 / $834.19	Professional		$548.49	$697.08	$834.19
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 $488.64 / $624.87 / $1,033.08	Professional		$488.64	$624.87	$1,033.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $593.71 / $701.51 / $4,646.00	Professional		$593.71	$701.51	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.78 / $902.78 / $1,200.00	Facility		$902.78	$902.78	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.27 / $823.28 / $1,377.38	Professional		$569.27	$823.28	$1,377.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.45 / $782.66 / $919.31	Professional		$611.45	$782.66	$919.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $611.45 / $889.83 / $1,338.19	Facility		$611.45	$889.83	$1,338.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $911.00 / $1,087.00 / $1,259.00	Professional		$911.00	$1,087.00	$1,259.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $556.69 / $766.50 / $2,490.00	Facility		$556.69	$766.50	$2,490.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $649.50 / $914.30 / $2,947.79	Professional		$649.50	$914.30	$2,947.79
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 $556.62 / $844.21 / $1,306.59	Professional		$556.62	$844.21	$1,306.59