Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,370.32 / $10,000.00	Facility		$977.24	$5,370.32	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,659.59	Professional		$660.69	$794.33	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,905.46	Professional		$741.31	$1,096.48	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $6,918.31	Professional		$758.58	$1,174.90	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,584.89	Professional		$707.95	$933.25	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,096.48	Professional		$724.44	$933.25	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,778.28	Professional		$977.24	$1,230.27	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,479.11	Facility		$707.95	$933.25	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $7,413.10	Facility		$676.08	$933.25	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $7,413.10	Professional		$676.08	$933.25	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,445.44	Professional		$562.34	$870.96	$1,445.44