Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.28 / $645.35 / $839.86	Professional		$545.28	$645.35	$839.86
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 $588.00 / $761.63 / $1,259.20	Professional		$588.00	$761.63	$1,259.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $605.80 / $678.51 / $5,113.00	Professional		$605.80	$678.51	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $722.52	Facility		$572.00	$572.00	$722.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.12 / $774.44 / $1,373.08	Professional		$592.12	$774.44	$1,373.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.29 / $789.80 / $933.40	Professional		$610.29	$789.80	$933.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.95 / $786.90 / $1,180.99	Facility		$630.95	$786.90	$1,180.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $711.00 / $816.00 / $1,196.00	Professional		$711.00	$816.00	$1,196.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $572.49 / $769.81 / $1,683.00	Facility		$572.49	$769.81	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $572.49 / $769.81 / $1,683.00	Professional		$572.49	$769.81	$1,683.00
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 $456.60 / $723.79 / $1,148.72	Professional		$456.60	$723.79	$1,148.72