Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,495.41 / $10,000.00	Facility		$741.31	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,445.44	Professional		$602.56	$707.95	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,698.24	Professional		$660.69	$977.24	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $8,317.64	Professional		$676.08	$1,047.13	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,445.44	Professional		$645.65	$870.96	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $933.25	Professional		$616.60	$794.33	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,548.82	Professional		$912.01	$1,122.02	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $1,348.96	Facility		$616.60	$851.14	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $870.96 / $7,413.10	Facility		$645.65	$870.96	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $7,413.10	Professional		$645.65	$870.96	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,318.26	Professional		$512.86	$794.33	$1,318.26