Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.19 / $5,282.00 / $10,637.11	Facility		$895.19	$5,282.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.18 / $814.95 / $1,032.16	Professional		$678.18	$814.95	$1,032.16
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 $673.86 / $876.32 / $1,242.75	Professional		$673.86	$876.32	$1,242.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $808.14 / $827.29 / $1,727.63	Professional		$808.14	$827.29	$1,727.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $610.00 / $1,142.00 / $3,282.37	Facility		$610.00	$1,142.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $606.25 / $935.52 / $1,591.85	Professional		$606.25	$935.52	$1,591.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $710.31 / $870.81 / $1,255.46	Professional		$710.31	$870.81	$1,255.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $710.31 / $956.54 / $1,491.36	Facility		$710.31	$956.54	$1,491.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,043.00 / $1,748.47	Professional		$916.00	$1,043.00	$1,748.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $716.78 / $944.81 / $1,717.36	Facility		$716.78	$944.81	$1,717.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $716.78 / $944.81 / $1,717.36	Professional		$716.78	$944.81	$1,717.36
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 $580.13 / $889.54 / $1,424.40	Professional		$580.13	$889.54	$1,424.40