Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,630.78 / $8,128.31	Facility		$457.09	$3,630.78	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,621.81	Professional		$371.54	$562.34	$1,621.81
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 $398.11 / $588.84 / $1,000.00	Professional		$398.11	$588.84	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $4,365.16	Professional		$398.11	$616.60	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $870.96	Professional		$398.11	$524.81	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $562.34	Professional		$380.19	$478.63	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $933.25	Professional		$512.86	$676.08	$933.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $812.83	Facility		$380.19	$524.81	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $6,918.31	Facility		$371.54	$524.81	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $6,918.31	Professional		$371.54	$524.81	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $14,125.38	Facility		$3,715.35	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $812.83	Professional		$316.23	$478.63	$812.83