Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.13 / $5,360.00 / $9,347.59	Facility		$1,332.13	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $853.93 / $1,659.65	Professional		$565.49	$853.93	$1,659.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.20 / $858.43 / $1,198.19	Professional		$675.20	$858.43	$1,198.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $802.31 / $1,083.11 / $8,031.00	Professional		$802.31	$1,083.11	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.80 / $853.02 / $1,705.69	Professional		$659.80	$853.02	$1,705.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.68 / $830.02 / $1,023.69	Professional		$691.68	$830.02	$1,023.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.51 / $979.94 / $1,443.14	Facility		$776.51	$979.94	$1,443.14
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $180.05 / $213.57 / $300.56	Facility	80	$180.05	$213.57	$300.56
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $126.04 / $149.50 / $210.39	Facility	AS	$126.04	$149.50	$210.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $776.00 / $972.00 / $1,705.85	Professional		$776.00	$972.00	$1,705.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $636.57 / $884.26 / $9,929.00	Facility		$636.57	$884.26	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $636.57 / $884.26 / $9,929.00	Professional		$636.57	$884.26	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.79 / $898.08 / $1,565.48	Professional		$615.79	$898.08	$1,565.48