Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,495.41 / $10,000.00	Facility		$891.25	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,698.24	Professional		$724.44	$870.96	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,089.30	Professional		$812.83	$1,202.26	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $10,000.00	Professional		$831.76	$1,288.25	$10,000.00
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 $794.33 / $1,023.29 / $1,737.80	Professional		$794.33	$1,023.29	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,202.26	Professional		$794.33	$1,023.29	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,949.84	Professional		$1,122.02	$1,380.38	$1,949.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,659.59	Facility		$794.33	$1,047.13	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $7,413.10	Facility		$758.58	$1,047.13	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $7,413.10	Professional		$758.58	$1,047.13	$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 $616.60 / $954.99 / $1,621.81	Professional		$616.60	$954.99	$1,621.81