Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.90 / $5,087.00 / $8,294.00	Facility		$990.90	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.93 / $978.43 / $1,231.60	Professional		$726.93	$978.43	$1,231.60
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 $848.21 / $1,098.44 / $1,816.05	Professional		$848.21	$1,098.44	$1,816.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $937.68 / $1,040.82 / $5,113.00	Professional		$937.68	$1,040.82	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,042.04	Facility		$640.00	$640.00	$1,042.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.96 / $1,132.71 / $1,960.32	Professional		$812.96	$1,132.71	$1,960.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $877.48 / $1,133.60 / $1,339.72	Professional		$877.48	$1,133.60	$1,339.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $906.52 / $1,144.11 / $1,741.95	Facility		$906.52	$1,144.11	$1,741.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,061.00 / $1,164.23 / $1,722.00	Professional		$1,061.00	$1,164.23	$1,722.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $789.74 / $1,138.13 / $3,896.07	Facility		$789.74	$1,138.13	$3,896.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $789.74 / $1,138.13 / $3,896.07	Professional		$789.74	$1,138.13	$3,896.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.53 / $1,086.26 / $1,753.92	Professional		$651.53	$1,086.26	$1,753.92