Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.97 / $4,390.00 / $8,920.00	Facility		$440.97	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $1,973.51 / $4,165.14	Professional		$217.50	$1,973.51	$4,165.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.05 / $732.24 / $2,605.98	Professional		$208.05	$732.24	$2,605.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.90 / $334.65 / $4,284.00	Professional		$245.90	$334.65	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.79 / $619.40 / $4,160.28	Professional		$249.79	$619.40	$4,160.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,812.18 / $2,177.79 / $2,722.24	Professional		$1,812.18	$2,177.79	$2,722.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $265.95 / $1,965.39 / $4,164.47	Facility		$265.95	$1,965.39	$4,164.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,609.40 / $3,408.00 / $5,443.40	Professional		$2,609.40	$3,408.00	$5,443.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $230.24 / $311.16 / $9,929.00	Facility		$230.24	$311.16	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,322.28 / $3,361.04 / $9,929.00	Professional		$2,322.28	$3,361.04	$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 $2,229.14 / $3,754.18 / $5,466.74	Professional		$2,229.14	$3,754.18	$5,466.74