Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $9,549.93	Facility		$977.24	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,737.80	Professional		$707.95	$977.24	$1,737.80
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 $912.01 / $1,348.96 / $2,290.87	Professional		$912.01	$1,348.96	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $19,054.61	Professional		$1,000.00	$1,445.44	$19,054.61
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 $831.76 / $1,071.52 / $1,949.84	Professional		$831.76	$1,071.52	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,230.27	Professional		$831.76	$1,047.13	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,137.96	Professional		$1,071.52	$1,348.96	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,737.80	Facility		$851.14	$1,148.15	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,071.52 / $10,000.00	Facility		$758.58	$1,071.52	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $10,000.00	Professional		$758.58	$1,071.52	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,778.28	Professional		$676.08	$1,023.29	$1,778.28