Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.83 / $5,048.00 / $10,637.11	Facility		$836.83	$5,048.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.47 / $806.80 / $1,045.56	Professional		$738.47	$806.80	$1,045.56
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 $702.24 / $898.01 / $1,484.67	Professional		$702.24	$898.01	$1,484.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $845.85 / $869.62 / $9,951.00	Professional		$845.85	$869.62	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.33 / $853.33 / $900.00	Facility		$853.33	$853.33	$900.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.25 / $1,021.53 / $1,637.59	Professional		$727.25	$1,021.53	$1,637.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $725.92 / $931.06 / $1,100.34	Professional		$725.92	$931.06	$1,100.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $745.33 / $1,006.87 / $1,510.41	Facility		$745.33	$1,006.87	$1,510.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.38 / $1,187.00 / $1,605.65	Professional		$1,047.38	$1,187.00	$1,605.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $695.80 / $1,017.54 / $3,223.75	Facility		$695.80	$1,017.54	$3,223.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $695.80 / $1,017.54 / $3,223.75	Professional		$695.80	$1,017.54	$3,223.75
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 $608.70 / $975.71 / $1,461.26	Professional		$608.70	$975.71	$1,461.26