Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.71 / $4,771.00 / $9,539.00	Facility		$991.71	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.71 / $991.71 / $1,343.27	Professional		$871.71	$991.71	$1,343.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $700.41 / $891.75 / $1,242.93	Professional		$700.41	$891.75	$1,242.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $867.03 / $1,170.49 / $3,426.00	Professional		$867.03	$1,170.49	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.11 / $1,093.72 / $1,997.68	Professional		$781.11	$1,093.72	$1,997.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.44 / $860.93 / $1,061.81	Professional		$717.44	$860.93	$1,061.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $958.14 / $1,174.52 / $1,675.99	Facility		$958.14	$1,174.52	$1,675.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,116.41 / $1,257.00 / $1,765.90	Professional		$1,116.41	$1,257.00	$1,765.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $804.49 / $1,163.70 / $2,755.00	Facility		$804.49	$1,163.70	$2,755.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $804.49 / $1,163.70 / $2,755.00	Professional		$804.49	$1,163.70	$2,755.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,906.00 / $3,765.00	Facility		$1,066.00	$1,906.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.66 / $1,129.34 / $1,813.28	Professional		$767.66	$1,129.34	$1,813.28