Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,570.88 / $15,848.93	Facility		$512.86	$4,570.88	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,230.27 / $2,290.87	Professional		$316.23	$1,230.27	$2,290.87
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 $302.00 / $1,000.00 / $2,041.74	Professional		$302.00	$1,000.00	$2,041.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $7,585.78 / $10,000.00	Professional		$309.03	$7,585.78	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $831.76 / $2,511.89	Professional		$323.59	$831.76	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,548.82 / $1,905.46	Professional		$251.19	$1,548.82	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,288.25 / $2,754.23	Facility		$338.84	$1,288.25	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $11,481.54	Facility		$275.42	$416.87	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $11,481.54	Professional		$1,348.96	$1,995.26	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,000.00 / $2,884.03	Professional		$288.40	$1,000.00	$2,884.03