Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.15 / $3,645.00 / $8,294.00	Facility		$989.15	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.99 / $598.77 / $789.88	Professional		$499.99	$598.77	$789.88
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 $524.70 / $679.50 / $1,123.41	Professional		$524.70	$679.50	$1,123.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $613.65 / $650.82 / $2,012.00	Professional		$613.65	$650.82	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $648.37	Facility		$572.00	$572.00	$648.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.09 / $734.37 / $1,230.64	Professional		$548.09	$734.37	$1,230.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.09 / $703.36 / $831.25	Professional		$548.09	$703.36	$831.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $572.02 / $731.00 / $1,061.07	Facility		$572.02	$731.00	$1,061.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $697.00 / $777.00 / $1,092.00	Professional		$697.00	$777.00	$1,092.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $549.95 / $708.19 / $2,445.32	Facility		$549.95	$708.19	$2,445.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.95 / $708.19 / $2,445.32	Professional		$549.95	$708.19	$2,445.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $671.97 / $1,065.55	Professional		$421.20	$671.97	$1,065.55