Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.30 / $3,226.00 / $8,294.00	Facility		$639.30	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.25 / $485.04 / $756.57	Professional		$338.25	$485.04	$756.57
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 $327.08 / $427.58 / $706.91	Professional		$327.08	$427.58	$706.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.02 / $411.06 / $3,019.00	Professional		$367.02	$411.06	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $600.58	Facility		$572.00	$572.00	$600.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.51 / $574.00 / $1,074.08	Professional		$355.51	$574.00	$1,074.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.33 / $734.20 / $867.69	Professional		$567.33	$734.20	$867.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $366.17 / $610.35 / $925.95	Facility		$366.17	$610.35	$925.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $757.00 / $1,082.00	Professional		$624.00	$757.00	$1,082.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $305.83 / $433.56 / $1,641.84	Facility		$305.83	$433.56	$1,641.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $455.01 / $715.21 / $2,533.67	Professional		$455.01	$715.21	$2,533.67
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 $388.53 / $657.51 / $1,133.57	Professional		$388.53	$657.51	$1,133.57