Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.46 / $4,771.00 / $9,539.00	Facility		$846.46	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.16 / $846.46 / $1,181.15	Professional		$703.16	$846.46	$1,181.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.85 / $832.56 / $1,162.08	Professional		$654.85	$832.56	$1,162.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $866.97 / $954.96 / $1,862.17	Professional		$866.97	$954.96	$1,862.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.64 / $979.62 / $1,693.26	Professional		$725.64	$979.62	$1,693.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.47 / $806.96 / $995.26	Professional		$672.47	$806.96	$995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $768.60 / $999.59 / $1,430.52	Facility		$768.60	$999.59	$1,430.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $937.00 / $1,028.23 / $1,654.63	Professional		$937.00	$1,028.23	$1,654.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $725.65 / $979.63 / $3,658.00	Facility		$725.65	$979.63	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $725.65 / $979.63 / $3,658.00	Professional		$725.65	$979.63	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.92 / $1,042.72 / $1,614.16	Professional		$650.92	$1,042.72	$1,614.16