Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.58 / $3,988.00 / $8,294.00	Facility		$630.58	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.94 / $597.28 / $875.59	Professional		$343.94	$597.28	$875.59
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 $240.58 / $303.00 / $505.82	Professional		$240.58	$303.00	$505.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $279.87 / $307.86 / $4,117.00	Professional		$279.87	$307.86	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $442.24 / $442.24 / $640.00	Facility		$442.24	$442.24	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.26 / $666.91 / $1,230.66	Professional		$301.26	$666.91	$1,230.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.88 / $455.53 / $531.38	Professional		$355.88	$455.53	$531.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $357.02 / $752.69 / $1,087.01	Facility		$357.02	$752.69	$1,087.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $603.26 / $922.00 / $1,114.00	Professional		$603.26	$922.00	$1,114.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $317.82 / $651.97 / $2,445.44	Facility		$317.82	$651.97	$2,445.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $454.97 / $771.41 / $3,057.85	Professional		$454.97	$771.41	$3,057.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $517.63 / $806.91 / $1,304.60	Professional		$517.63	$806.91	$1,304.60