Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $5,412.00 / $14,798.00	Facility		$200.71	$5,412.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.11 / $2,355.19 / $3,301.74	Professional		$164.11	$2,355.19	$3,301.74
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 $155.50 / $198.86 / $272.73	Professional		$155.50	$198.86	$272.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $233.26 / $298.29 / $409.10	Professional	50	$233.26	$298.29	$409.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $178.48 / $257.63 / $5,895.00	Professional		$178.48	$257.63	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $493.60 / $5,391.36	Professional		$183.43	$493.60	$5,391.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,916.42 / $2,737.74 / $3,358.16	Professional		$1,916.42	$2,737.74	$3,358.16
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.10 / $2,269.03 / $4,878.60	Facility		$185.10	$2,269.03	$4,878.60
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $452.15 / $5,123.79 / $8,268.87	Facility	50	$452.15	$5,123.79	$8,268.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $394.49 / $3,879.89 / $5,125.00	Professional		$394.49	$3,879.89	$5,125.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $169.23 / $227.18 / $6,585.00	Facility		$169.23	$227.18	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,912.09 / $3,814.84 / $8,031.00	Professional		$2,912.09	$3,814.84	$8,031.00
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 $2,606.40 / $4,616.68 / $6,990.99	Professional		$2,606.40	$4,616.68	$6,990.99