Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,897.79 / $8,317.64	Facility		$676.08	$4,897.79	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,318.26	Professional		$537.03	$645.65	$1,318.26
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 $588.84 / $891.25 / $1,513.56	Professional		$588.84	$891.25	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $8,317.64	Professional		$616.60	$954.99	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,288.25	Professional		$588.84	$741.31	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $851.14	Professional		$562.34	$724.44	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,412.54	Professional		$758.58	$933.25	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $1,202.26	Facility		$562.34	$776.25	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $10,000.00	Facility		$524.81	$741.31	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $10,000.00	Professional		$524.81	$741.31	$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 $446.68 / $691.83 / $1,202.26	Professional		$446.68	$691.83	$1,202.26