Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,294.00	Facility		$812.00	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.90 / $688.49 / $891.57	Professional		$581.90	$688.49	$891.57
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 $628.36 / $809.19 / $1,337.83	Professional		$628.36	$809.19	$1,337.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $667.14 / $733.85 / $1,260.89	Professional		$667.14	$733.85	$1,260.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $767.64	Facility		$420.00	$420.00	$767.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.08 / $845.77 / $1,458.21	Professional		$638.08	$845.77	$1,458.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.46 / $839.18 / $991.76	Professional		$648.46	$839.18	$991.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $646.19 / $816.65 / $1,259.94	Facility		$646.19	$816.65	$1,259.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $752.00 / $882.00 / $1,270.00	Professional		$752.00	$882.00	$1,270.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $624.40 / $832.33 / $1,752.79	Facility		$624.40	$832.33	$1,752.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $624.40 / $832.33 / $1,752.79	Professional		$624.40	$832.33	$1,752.79
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 $496.89 / $797.60 / $1,264.95	Professional		$496.89	$797.60	$1,264.95