Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.46 / $4,390.00 / $8,920.00	Facility		$416.46	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.41 / $1,266.14 / $1,714.24	Professional		$379.41	$1,266.14	$1,714.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.69 / $890.85 / $1,659.99	Professional		$325.69	$890.85	$1,659.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.74 / $542.78 / $5,354.00	Professional		$383.74	$542.78	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.13 / $951.46 / $2,530.52	Professional		$387.13	$951.46	$2,530.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,155.47 / $1,386.56 / $1,722.56	Professional		$1,155.47	$1,386.56	$1,722.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $412.31 / $1,244.64 / $2,480.48	Facility		$412.31	$1,244.64	$2,480.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,675.00 / $2,005.00 / $3,202.80	Professional		$1,675.00	$2,005.00	$3,202.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.92 / $473.16 / $7,420.00	Facility		$354.92	$473.16	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,410.79 / $2,038.41 / $7,420.00	Professional		$1,410.79	$2,038.41	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,234.96 / $2,047.28 / $3,063.04	Professional		$1,234.96	$2,047.28	$3,063.04