Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,412.00 / $10,767.00	Facility		$1,538.00	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.54 / $807.05 / $1,371.98	Professional		$681.54	$807.05	$1,371.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.22 / $918.44 / $1,518.45	Professional		$718.22	$918.44	$1,518.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $843.50 / $910.98 / $7,889.00	Professional		$843.50	$910.98	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $877.89	Facility		$776.00	$776.00	$877.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $751.15 / $1,022.39 / $1,682.02	Professional		$751.15	$1,022.39	$1,682.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.42 / $950.30 / $1,120.26	Professional		$742.42	$950.30	$1,120.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $807.05 / $1,021.66 / $1,476.90	Facility		$807.05	$1,021.66	$1,476.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $957.00 / $1,093.00 / $1,492.00	Professional		$957.00	$1,093.00	$1,492.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $766.59 / $989.66 / $3,342.84	Facility		$766.59	$989.66	$3,342.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $766.59 / $989.66 / $3,342.84	Professional		$766.59	$989.66	$3,342.84
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.57 / $960.91 / $1,506.74	Professional		$600.57	$960.91	$1,506.74