Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.86 / $5,412.00 / $11,425.00	Facility		$1,004.86	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.47 / $926.11 / $1,373.50	Professional		$831.47	$926.11	$1,373.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $20,977.18 / $29,216.95	Facility		$7,142.00	$20,977.18	$29,216.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.17 / $1,055.21 / $1,744.57	Professional		$825.17	$1,055.21	$1,744.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $969.04 / $1,001.14 / $9,951.00	Professional		$969.04	$1,001.14	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,009.63	Facility		$640.00	$640.00	$1,009.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.54 / $1,230.99 / $1,957.94	Professional		$876.54	$1,230.99	$1,957.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.10 / $1,086.84 / $1,278.89	Professional		$849.10	$1,086.84	$1,278.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $926.11 / $1,206.96 / $1,826.19	Facility		$926.11	$1,206.96	$1,826.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,112.00 / $1,278.00 / $1,724.00	Professional		$1,112.00	$1,278.00	$1,724.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $885.40 / $1,202.06 / $3,891.44	Facility		$885.40	$1,202.06	$3,891.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $885.40 / $1,202.06 / $3,891.44	Professional		$885.40	$1,202.06	$3,891.44
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 $734.69 / $1,147.95 / $1,754.54	Professional		$734.69	$1,147.95	$1,754.54