Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.72 / $4,771.00 / $10,767.00	Facility		$576.72	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.93 / $465.47 / $678.40	Professional		$335.93	$465.47	$678.40
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 $343.52 / $516.63 / $812.41	Professional		$343.52	$516.63	$812.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $375.16 / $377.54 / $783.82	Professional		$375.16	$377.54	$783.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $925.00 / $1,568.92	Facility		$490.00	$925.00	$1,568.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.24 / $520.34 / $952.99	Professional		$354.24	$520.34	$952.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $635.29 / $802.88	Professional		$510.00	$635.29	$802.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $388.75 / $576.72 / $904.25	Facility		$388.75	$576.72	$904.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $655.00 / $973.00	Professional		$549.00	$655.00	$973.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $349.86 / $423.96 / $811.05	Facility		$349.86	$423.96	$811.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $458.07 / $609.69 / $1,249.26	Professional		$458.07	$609.69	$1,249.26
United Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $5,815.00 / $12,680.00	Facility		$908.00	$5,815.00	$12,680.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.30 / $571.94 / $970.48	Professional		$381.30	$571.94	$970.48