Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,897.79 / $8,317.64	Facility		$912.01	$4,897.79	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,348.96	Professional		$467.74	$575.44	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,288.25	Professional		$512.86	$758.58	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $3,548.13	Professional		$524.81	$776.25	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,096.48	Professional		$501.19	$660.69	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $707.95	Professional		$467.74	$602.56	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,202.26	Professional		$676.08	$831.76	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $1,023.29	Facility		$478.63	$660.69	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $3,388.44	Facility		$457.09	$645.65	$3,388.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $3,388.44	Professional		$457.09	$645.65	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $5,754.40	Facility		$1,737.80	$3,311.31	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,023.29	Professional		$389.05	$602.56	$1,023.29