Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.17 / $4,457.60 / $8,003.00	Facility		$651.17	$4,457.60	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $570.86 / $1,019.58	Professional		$305.64	$570.86	$1,019.58
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 $299.33 / $382.78 / $632.85	Professional		$299.33	$382.78	$632.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $368.96 / $372.28 / $3,019.00	Professional		$368.96	$372.28	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $541.16 / $640.00	Facility		$541.16	$541.16	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.54 / $597.41 / $1,080.74	Professional		$330.54	$597.41	$1,080.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.35 / $762.69 / $901.36	Professional		$589.35	$762.69	$901.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $353.01 / $621.58 / $1,063.79	Facility		$353.01	$621.58	$1,063.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $708.00 / $815.00 / $1,092.39	Professional		$708.00	$815.00	$1,092.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $310.93 / $409.45 / $1,366.97	Facility		$310.93	$409.45	$1,366.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $572.22 / $774.31 / $1,683.00	Professional		$572.22	$774.31	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.87 / $741.09 / $1,134.14	Professional		$440.87	$741.09	$1,134.14