Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.90 / $5,087.00 / $8,294.00	Facility		$992.90	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.78 / $924.32 / $1,247.81	Professional		$801.78	$924.32	$1,247.81
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 $797.81 / $1,020.23 / $1,686.74	Professional		$797.81	$1,020.23	$1,686.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $965.08 / $966.87 / $3,019.00	Professional		$965.08	$966.87	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $977.74	Facility		$640.00	$640.00	$977.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.55 / $1,123.76 / $1,943.75	Professional		$835.55	$1,123.76	$1,943.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.17 / $1,043.75 / $1,233.52	Professional		$815.17	$1,043.75	$1,233.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.15 / $1,173.42 / $1,769.64	Facility		$919.15	$1,173.42	$1,769.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,099.00 / $1,217.45 / $1,715.00	Professional		$1,099.00	$1,217.45	$1,715.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $819.23 / $1,111.44 / $2,121.26	Facility		$819.23	$1,111.44	$2,121.26
Sentara Facility/Professional Professional Modifier Low / Median / High Price $819.23 / $1,111.44 / $2,121.26	Professional		$819.23	$1,111.44	$2,121.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.28 / $1,055.29 / $1,685.91	Professional		$654.28	$1,055.29	$1,685.91