Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.05 / $5,412.00 / $11,425.00	Facility		$883.05	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $696.42 / $802.32 / $1,011.71	Professional		$696.42	$802.32	$1,011.71
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 $707.46 / $904.69 / $1,495.72	Professional		$707.46	$904.69	$1,495.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $838.88 / $905.99 / $9,951.00	Professional		$838.88	$905.99	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $863.37	Facility		$640.00	$640.00	$863.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.32 / $950.80 / $1,712.87	Professional		$735.32	$950.80	$1,712.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.78 / $935.40 / $1,104.09	Professional		$730.78	$935.40	$1,104.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $795.68 / $1,009.65 / $1,539.52	Facility		$795.68	$1,009.65	$1,539.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $884.00 / $1,053.82 / $1,454.00	Professional		$884.00	$1,053.82	$1,454.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $720.71 / $965.75 / $3,404.14	Facility		$720.71	$965.75	$3,404.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $720.71 / $965.75 / $3,404.14	Professional		$720.71	$965.75	$3,404.14
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 $593.71 / $932.98 / $1,483.09	Professional		$593.71	$932.98	$1,483.09