Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.89 / $4,771.00 / $8,294.00	Facility		$881.89	$4,771.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.40 / $535.36 / $770.37	Professional		$464.40	$535.36	$770.37
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 $473.58 / $605.61 / $1,001.25	Professional		$473.58	$605.61	$1,001.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $534.46 / $581.05 / $5,113.00	Professional		$534.46	$581.05	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.80 / $578.80 / $640.00	Facility		$578.80	$578.80	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.38 / $681.35 / $1,086.54	Professional		$497.38	$681.35	$1,086.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.47 / $629.02 / $743.39	Professional		$489.47	$629.02	$743.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $530.27 / $668.10 / $986.00	Facility		$530.27	$668.10	$986.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $712.00 / $968.00	Professional		$613.00	$712.00	$968.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $495.02 / $656.79 / $2,230.00	Facility		$495.02	$656.79	$2,230.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $495.02 / $656.79 / $2,230.00	Professional		$495.02	$656.79	$2,230.00
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 $407.70 / $657.42 / $1,033.61	Professional		$407.70	$657.42	$1,033.61