Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,630.78 / $8,317.64	Facility		$851.14	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,621.81	Professional		$676.08	$794.33	$1,621.81
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 $758.58 / $1,096.48 / $1,905.46	Professional		$758.58	$1,096.48	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $12,022.64	Professional		$758.58	$1,174.90	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,621.81	Professional		$630.96	$891.25	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,047.13	Professional		$691.83	$870.96	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,737.80	Professional		$691.83	$870.96	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,445.44	Facility		$676.08	$933.25	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $10,000.00	Facility		$602.56	$933.25	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $10,000.00	Professional		$602.56	$933.25	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,479.11	Professional		$524.81	$794.33	$1,479.11