Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.74 / $5,091.00 / $9,539.00	Facility		$942.74	$5,091.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.26 / $479.29 / $637.23	Professional		$415.26	$479.29	$637.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.18 / $541.16 / $894.69	Professional		$423.18	$541.16	$894.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.47 / $526.47 / $3,714.00	Professional		$487.47	$526.47	$3,714.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.76 / $523.76 / $640.00	Facility		$523.76	$523.76	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.77 / $597.76 / $987.52	Professional		$444.77	$597.76	$987.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.87 / $568.90 / $672.33	Professional		$442.87	$568.90	$672.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $470.31 / $597.51 / $896.44	Facility		$470.31	$597.51	$896.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $561.00 / $637.22 / $885.00	Professional		$561.00	$637.22	$885.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $441.42 / $575.73 / $2,120.07	Facility		$441.42	$575.73	$2,120.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $441.42 / $575.73 / $2,120.07	Professional		$441.42	$575.73	$2,120.07
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.49 / $553.59 / $986.89	Professional		$350.49	$553.59	$986.89