Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $514.98 / $2,623.00 / $7,275.00	Facility		$514.98	$2,623.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $464.46 / $799.69	Professional		$298.89	$464.46	$799.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.33 / $402.83 / $665.99	Professional		$311.33	$402.83	$665.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $351.06 / $351.06 / $3,448.00	Professional		$351.06	$351.06	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $571.65 / $572.00	Facility		$571.65	$571.65	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.07 / $501.67 / $887.36	Professional		$337.07	$501.67	$887.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.76 / $605.34 / $715.40	Professional		$467.76	$605.34	$715.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $514.98 / $823.92	Facility		$354.81	$514.98	$823.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $554.00 / $631.00 / $867.00	Professional		$554.00	$631.00	$867.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $318.25 / $413.34 / $1,560.56	Facility		$318.25	$413.34	$1,560.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $393.95 / $595.41 / $2,030.98	Professional		$393.95	$595.41	$2,030.98
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 $339.28 / $546.45 / $888.62	Professional		$339.28	$546.45	$888.62