Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.02 / $5,087.00 / $8,294.00	Facility		$956.02	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.42 / $892.33 / $1,204.36	Professional		$777.42	$892.33	$1,204.36
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 $791.38 / $1,015.12 / $1,678.29	Professional		$791.38	$1,015.12	$1,678.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $929.84 / $1,004.23 / $5,113.00	Professional		$929.84	$1,004.23	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $968.28	Facility		$640.00	$640.00	$968.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.83 / $1,083.45 / $1,868.78	Professional		$837.83	$1,083.45	$1,868.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.40 / $1,046.27 / $1,233.61	Professional		$817.40	$1,046.27	$1,233.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $879.16 / $1,126.49 / $1,670.53	Facility		$879.16	$1,126.49	$1,670.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,063.00 / $1,200.00 / $1,655.00	Professional		$1,063.00	$1,200.00	$1,655.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $806.78 / $1,084.56 / $3,714.14	Facility		$806.78	$1,084.56	$3,714.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $806.78 / $1,084.56 / $3,714.14	Professional		$806.78	$1,084.56	$3,714.14
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 $659.24 / $1,039.16 / $1,584.83	Professional		$659.24	$1,039.16	$1,584.83