Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.08 / $3,633.00 / $8,294.00	Facility		$917.08	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.06 / $591.34 / $946.03	Professional		$483.06	$591.34	$946.03
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 $487.49 / $630.77 / $1,042.84	Professional		$487.49	$630.77	$1,042.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $581.30 / $604.04 / $3,019.00	Professional		$581.30	$604.04	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $604.47	Facility		$572.00	$572.00	$604.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.39 / $676.19 / $1,150.15	Professional		$508.39	$676.19	$1,150.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.81 / $655.75 / $774.98	Professional		$511.81	$655.75	$774.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $511.81 / $671.98 / $993.07	Facility		$511.81	$671.98	$993.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $729.30 / $1,026.00	Professional		$639.00	$729.30	$1,026.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $473.54 / $655.36 / $1,683.00	Facility		$473.54	$655.36	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $473.54 / $655.36 / $1,683.00	Professional		$473.54	$655.36	$1,683.00
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 $385.83 / $620.39 / $995.86	Professional		$385.83	$620.39	$995.86