Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.75 / $5,091.00 / $9,539.00	Facility		$1,102.75	$5,091.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.26 / $574.66 / $753.22	Professional		$477.26	$574.66	$753.22
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 $497.86 / $650.80 / $1,075.98	Professional		$497.86	$650.80	$1,075.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $582.97 / $624.80 / $5,113.00	Professional		$582.97	$624.80	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $622.33 / $622.33 / $640.00	Facility		$622.33	$622.33	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.74 / $665.53 / $1,173.83	Professional		$527.74	$665.53	$1,173.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.26 / $676.75 / $799.80	Professional		$526.26	$676.75	$799.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $526.26 / $683.85 / $1,011.08	Facility		$526.26	$683.85	$1,011.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $739.00 / $1,045.00	Professional		$657.00	$739.00	$1,045.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $526.27 / $684.15 / $2,520.02	Facility		$526.27	$684.15	$2,520.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $526.27 / $684.15 / $2,520.02	Professional		$526.27	$684.15	$2,520.02
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 $401.56 / $652.37 / $1,016.37	Professional		$401.56	$652.37	$1,016.37