Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.87 / $5,282.00 / $11,425.00	Facility		$1,437.87	$5,282.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $864.19 / $1,163.31	Professional		$738.46	$864.19	$1,163.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,861.00 / $27,843.00 / $30,195.00	Facility		$21,861.00	$27,843.00	$30,195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.30 / $982.50 / $1,624.36	Professional		$767.30	$982.50	$1,624.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $898.46 / $970.34 / $12,325.00	Professional		$898.46	$970.34	$12,325.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $938.52	Facility		$900.00	$900.00	$938.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.84 / $1,044.25 / $1,807.25	Professional		$793.84	$1,044.25	$1,807.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.28 / $1,014.12 / $1,196.74	Professional		$792.28	$1,014.12	$1,196.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $849.30 / $1,068.99 / $1,576.26	Facility		$849.30	$1,068.99	$1,576.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,161.00 / $1,600.00	Professional		$1,000.00	$1,161.00	$1,600.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $771.68 / $1,029.98 / $3,591.79	Facility		$771.68	$1,029.98	$3,591.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $771.68 / $1,029.98 / $3,591.79	Professional		$771.68	$1,029.98	$3,591.79
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 $612.41 / $984.48 / $1,618.66	Professional		$612.41	$984.48	$1,618.66