Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.88 / $5,087.00 / $8,294.00	Facility		$484.88	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.76 / $464.92 / $606.16	Professional		$403.76	$464.92	$606.16
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 $389.96 / $505.01 / $834.93	Professional		$389.96	$505.01	$834.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $459.83 / $496.60 / $6,433.00	Professional		$459.83	$496.60	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $487.10 / $640.00	Facility		$487.10	$487.10	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.43 / $591.08 / $942.23	Professional		$420.43	$591.08	$942.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.41 / $527.88 / $610.37	Professional		$412.41	$527.88	$610.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.13 / $592.14 / $824.30	Facility		$436.13	$592.14	$824.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $634.64 / $896.00	Professional		$539.00	$634.64	$896.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $430.00 / $576.57 / $2,021.24	Facility		$430.00	$576.57	$2,021.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $576.57 / $2,021.24	Professional		$430.00	$576.57	$2,021.24
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.56 / $529.23 / $842.11	Professional		$353.56	$529.23	$842.11