Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.34 / $5,480.00 / $14,798.00	Facility		$1,300.34	$5,480.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.09 / $1,134.11 / $1,497.66	Professional		$906.09	$1,134.11	$1,497.66
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 $869.11 / $1,111.40 / $1,837.47	Professional		$869.11	$1,111.40	$1,837.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $961.36 / $1,059.42 / $9,951.00	Professional		$961.36	$1,059.42	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,584.46	Facility		$1,200.00	$1,200.00	$1,584.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.09 / $1,332.78 / $2,362.42	Professional		$959.09	$1,332.78	$2,362.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,159.08 / $1,483.62 / $1,753.19	Professional		$1,159.08	$1,483.62	$1,753.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,050.02 / $1,425.32 / $2,229.83	Facility		$1,050.02	$1,425.32	$2,229.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,374.00 / $1,639.00 / $2,238.00	Professional		$1,374.00	$1,639.00	$2,238.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $908.93 / $1,181.46 / $4,064.72	Facility		$908.93	$1,181.46	$4,064.72
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,077.19 / $1,455.56 / $5,242.60	Professional		$1,077.19	$1,455.56	$5,242.60
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.08 / $1,411.77 / $2,283.73	Professional		$899.08	$1,411.77	$2,283.73