Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,520.03 / $5,360.00 / $9,347.59	Facility		$1,520.03	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.21 / $913.30 / $1,222.50	Professional		$792.21	$913.30	$1,222.50
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 $811.95 / $1,038.31 / $1,716.63	Professional		$811.95	$1,038.31	$1,716.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $944.37 / $1,784.86	Professional		$897.00	$944.37	$1,784.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $990.60	Facility		$776.00	$776.00	$990.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.92 / $1,119.96 / $1,903.13	Professional		$844.92	$1,119.96	$1,903.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $836.54 / $1,070.77 / $1,263.99	Professional		$836.54	$1,070.77	$1,263.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $907.87 / $1,151.63 / $1,708.99	Facility		$907.87	$1,151.63	$1,708.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,079.00 / $1,219.00 / $1,681.00	Professional		$1,079.00	$1,219.00	$1,681.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $846.00 / $1,103.68 / $3,782.44	Facility		$846.00	$1,103.68	$3,782.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $846.00 / $1,103.68 / $3,782.44	Professional		$846.00	$1,103.68	$3,782.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.31 / $1,058.78 / $1,701.72	Professional		$672.31	$1,058.78	$1,701.72