Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.75 / $5,388.00 / $11,024.00	Facility		$965.75	$5,388.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $772.42 / $907.20 / $1,321.73	Professional		$772.42	$907.20	$1,321.73
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 $795.09 / $1,029.66 / $1,702.33	Professional		$795.09	$1,029.66	$1,702.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $937.66 / $984.15 / $4,039.00	Professional		$937.66	$984.15	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $983.16	Facility		$776.00	$776.00	$983.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.02 / $1,094.79 / $1,879.84	Professional		$808.02	$1,094.79	$1,879.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.75 / $1,064.38 / $1,257.91	Professional		$830.75	$1,064.38	$1,257.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $868.16 / $1,114.40 / $1,629.79	Facility		$868.16	$1,114.40	$1,629.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,017.19 / $1,202.00 / $1,668.00	Professional		$1,017.19	$1,202.00	$1,668.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $772.77 / $1,070.71 / $2,052.00	Facility		$772.77	$1,070.71	$2,052.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $772.77 / $1,070.71 / $2,052.00	Professional		$772.77	$1,070.71	$2,052.00
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 $635.25 / $969.90 / $1,627.67	Professional		$635.25	$969.90	$1,627.67