Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.13 / $5,636.00 / $14,798.00	Facility		$1,014.13	$5,636.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.38 / $919.28 / $1,142.25	Professional		$719.38	$919.28	$1,142.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.78 / $980.54 / $1,344.81	Professional		$766.78	$980.54	$1,344.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $894.99 / $1,327.02 / $6,694.00	Professional		$894.99	$1,327.02	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.79 / $1,068.09 / $2,052.60	Professional		$805.79	$1,068.09	$2,052.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.98 / $945.58 / $1,166.21	Professional		$787.98	$945.58	$1,166.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.27 / $1,106.44 / $1,628.24	Facility		$919.27	$1,106.44	$1,628.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $986.74 / $1,139.00 / $1,739.00	Professional		$986.74	$1,139.00	$1,739.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $792.45 / $1,034.18 / $6,585.00	Facility		$792.45	$1,034.18	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $792.45 / $1,034.18 / $6,585.00	Professional		$792.45	$1,034.18	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.34 / $1,064.46 / $1,633.63	Professional		$681.34	$1,064.46	$1,633.63