Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.97 / $4,771.00 / $9,539.00	Facility		$935.97	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.41 / $935.97 / $1,322.08	Professional		$778.41	$935.97	$1,322.08
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 $731.09 / $930.81 / $1,297.36	Professional		$731.09	$930.81	$1,297.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $967.82 / $1,080.92 / $2,107.79	Professional		$967.82	$1,080.92	$2,107.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.87 / $1,078.58 / $1,896.55	Professional		$812.87	$1,078.58	$1,896.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.85 / $901.02 / $1,111.26	Professional		$750.85	$901.02	$1,111.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $919.54 / $1,138.71 / $1,685.20	Facility		$919.54	$1,138.71	$1,685.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,042.00 / $1,155.00 / $1,847.42	Professional		$1,042.00	$1,155.00	$1,847.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.24 / $1,112.96 / $3,924.51	Facility		$794.24	$1,112.96	$3,924.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.24 / $1,112.96 / $3,924.51	Professional		$794.24	$1,112.96	$3,924.51
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 $729.12 / $1,050.08 / $1,808.42	Professional		$729.12	$1,050.08	$1,808.42