Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.49 / $5,328.00 / $11,024.00	Facility		$745.49	$5,328.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.49 / $699.51 / $1,077.65	Professional		$590.49	$699.51	$1,077.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.41 / $794.65 / $1,313.79	Professional		$621.41	$794.65	$1,313.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $723.26 / $758.81 / $15,406.00	Professional		$723.26	$758.81	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $758.48	Facility		$640.00	$640.00	$758.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.80 / $846.46 / $1,452.11	Professional		$656.80	$846.46	$1,452.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.78 / $820.36 / $969.51	Professional		$640.78	$820.36	$969.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $693.72 / $879.76 / $1,306.83	Facility		$693.72	$879.76	$1,306.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $823.00 / $931.00 / $1,287.00	Professional		$823.00	$931.00	$1,287.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $652.15 / $849.73 / $2,885.68	Facility		$652.15	$849.73	$2,885.68
Sentara Facility/Professional Professional Modifier Low / Median / High Price $652.15 / $849.73 / $2,885.68	Professional		$652.15	$849.73	$2,885.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.09 / $817.32 / $1,297.58	Professional		$513.09	$817.32	$1,297.58