Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.94 / $5,087.00 / $8,294.00	Facility		$680.94	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.63 / $646.15 / $1,115.03	Professional		$538.63	$646.15	$1,115.03
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 $560.70 / $732.95 / $1,211.78	Professional		$560.70	$732.95	$1,211.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.61 / $580.26 / $6,433.00	Professional		$487.61	$580.26	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $700.82	Facility		$640.00	$640.00	$700.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $589.52 / $747.06 / $1,332.29	Professional		$589.52	$747.06	$1,332.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.19 / $759.62 / $897.73	Professional		$592.19	$759.62	$897.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $592.19 / $789.81 / $1,182.34	Facility		$592.19	$789.81	$1,182.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $846.06 / $1,146.00	Professional		$754.00	$846.06	$1,146.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $554.13 / $741.42 / $2,858.59	Facility		$554.13	$741.42	$2,858.59
Sentara Facility/Professional Professional Modifier Low / Median / High Price $554.13 / $741.42 / $2,858.59	Professional		$554.13	$741.42	$2,858.59
United Facility/Professional Facility Modifier Low / Median / High Price $7,381.00 / $12,350.00 / $26,537.00	Facility		$7,381.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $740.24 / $1,135.91	Professional		$456.13	$740.24	$1,135.91