Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.46 / $5,388.00 / $9,975.00	Facility		$641.46	$5,388.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.08 / $617.54 / $726.78	Professional		$535.08	$617.54	$726.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $640.59 / $878.56	Professional		$500.94	$640.59	$878.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $600.40 / $876.07 / $7,369.00	Professional		$600.40	$876.07	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.63 / $739.72 / $1,350.80	Professional		$542.63	$739.72	$1,350.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.30 / $618.37 / $762.66	Professional		$515.30	$618.37	$762.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $587.83 / $729.83 / $1,084.07	Facility		$587.83	$729.83	$1,084.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $690.00 / $782.00 / $1,269.19	Professional		$690.00	$782.00	$1,269.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $563.26 / $734.32 / $5,122.00	Facility		$563.26	$734.32	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $563.26 / $734.32 / $5,122.00	Professional		$563.26	$734.32	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.38 / $765.47 / $1,124.88	Professional		$448.38	$765.47	$1,124.88