Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,128.61 / $14,791.08	Facility		$977.24	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,737.80	Professional		$794.33	$912.01	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,187.76	Professional		$851.14	$1,258.93	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,348.96 / $16,595.87	Professional		$870.96	$1,348.96	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,905.46	Professional		$831.76	$1,071.52	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,174.90	Professional		$794.33	$1,000.00	$1,174.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,041.74	Professional		$1,047.13	$1,288.25	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,778.28	Facility		$812.83	$1,122.02	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $10,000.00	Facility		$794.33	$1,096.48	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $10,000.00	Professional		$794.33	$1,096.48	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,737.80	Professional		$645.65	$1,000.00	$1,737.80