Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.92 / $4,771.00 / $9,975.00	Facility		$532.92	$4,771.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.60 / $486.69 / $627.53	Professional		$355.60	$486.69	$627.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.21 / $429.94 / $710.81	Professional		$336.21	$429.94	$710.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $419.33 / $433.01 / $3,714.00	Professional		$419.33	$433.01	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.90 / $621.90 / $776.00	Facility		$621.90	$621.90	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.98 / $575.10 / $993.72	Professional		$375.98	$575.10	$993.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.37 / $626.39 / $735.84	Professional		$489.37	$626.39	$735.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $412.50 / $593.54 / $911.89	Facility		$412.50	$593.54	$911.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $668.00 / $753.00 / $971.00	Professional		$668.00	$753.00	$971.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $360.16 / $501.41 / $1,757.19	Facility		$360.16	$501.41	$1,757.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $489.38 / $660.39 / $2,274.50	Professional		$489.38	$660.39	$2,274.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,817.85 / $6,145.00 / $12,739.00	Facility		$2,817.85	$6,145.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.26 / $658.72 / $990.51	Professional		$429.26	$658.72	$990.51