Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $8,317.64	Facility		$691.83	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,258.93	Professional		$549.54	$645.65	$1,258.93
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 $616.60 / $891.25 / $1,548.82	Professional		$616.60	$891.25	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $8,317.64	Professional		$630.96	$977.24	$8,317.64
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 $575.44 / $758.58 / $1,318.26	Professional		$575.44	$758.58	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $851.14	Professional		$575.44	$724.44	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,412.54	Professional		$776.25	$977.24	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,230.27	Facility		$575.44	$776.25	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $776.25 / $7,413.10	Facility		$537.03	$776.25	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $7,413.10	Professional		$537.03	$776.25	$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 $457.09 / $707.95 / $1,230.27	Professional		$457.09	$707.95	$1,230.27