Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.87 / $3,633.00 / $8,920.00	Facility		$300.87	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.10 / $381.41 / $579.32	Professional		$289.10	$381.41	$579.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $450.94 / $707.58	Professional		$293.60	$450.94	$707.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $350.75 / $363.70 / $731.04	Professional		$350.75	$363.70	$731.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.83 / $490.00 / $610.00	Facility		$348.83	$490.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.39 / $434.07 / $815.78	Professional		$283.39	$434.07	$815.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.97 / $562.46 / $731.64	Professional		$449.97	$562.46	$731.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $300.87 / $458.39 / $725.56	Facility		$300.87	$458.39	$725.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $438.00 / $519.00 / $829.52	Professional		$438.00	$519.00	$829.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $266.36 / $347.50 / $703.27	Facility		$266.36	$347.50	$703.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $347.68 / $493.63 / $1,063.67	Professional		$347.68	$493.63	$1,063.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,466.00 / $21,401.00	Facility		$1,745.00	$10,466.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.57 / $470.69 / $820.80	Professional		$297.57	$470.69	$820.80