Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,715.35 / $10,471.29	Facility		$676.08	$3,715.35	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,513.56 / $3,235.94	Professional		$426.58	$1,513.56	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,230.27 / $2,570.40	Professional		$407.38	$1,230.27	$2,570.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $7,079.46 / $10,000.00	Professional		$407.38	$7,079.46	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,071.52 / $3,630.78	Professional		$436.52	$1,071.52	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,862.09 / $2,344.23	Professional		$331.13	$1,862.09	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $4,466.84	Professional		$3,467.37	$4,365.16	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,862.09 / $4,265.80	Facility		$467.74	$1,862.09	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $11,481.54	Facility		$363.08	$562.34	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $11,481.54	Professional		$1,819.70	$2,951.21	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $12,882.50 / $29,512.09	Facility		$8,317.64	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,174.90 / $4,365.16	Professional		$380.19	$1,174.90	$4,365.16