Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.35 / $2,499.00 / $6,827.70	Facility		$667.35	$2,499.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $520.26 / $636.91 / $882.22	Professional		$520.26	$636.91	$882.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.70 / $694.82 / $1,148.74	Professional		$541.70	$694.82	$1,148.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $624.52 / $666.73 / $2,012.00	Professional		$624.52	$666.73	$2,012.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $985.85	Facility		$420.00	$420.00	$985.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.20 / $757.77 / $1,344.92	Professional		$575.20	$757.77	$1,344.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.76 / $788.68 / $932.07	Professional		$611.76	$788.68	$932.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $758.10 / $1,128.58	Facility		$578.00	$758.10	$1,128.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $759.00 / $866.00 / $1,208.00	Professional		$759.00	$866.00	$1,208.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $562.76 / $729.09 / $1,340.39	Facility		$562.76	$729.09	$1,340.39
Sentara Facility/Professional Professional Modifier Low / Median / High Price $611.76 / $782.33 / $1,386.07	Professional		$611.76	$782.33	$1,386.07
United Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $819.00 / $2,375.00	Facility		$206.00	$819.00	$2,375.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.35 / $754.83 / $1,195.10	Professional		$480.35	$754.83	$1,195.10