Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.74 / $3,645.00 / $8,294.00	Facility		$615.74	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.01 / $403.86 / $552.62	Professional		$348.01	$403.86	$552.62
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 $328.27 / $413.44 / $604.69	Professional		$328.27	$413.44	$604.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $386.62 / $394.06 / $807.82	Professional		$386.62	$394.06	$807.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.58 / $610.00 / $972.27	Facility		$401.58	$610.00	$972.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.74 / $501.69 / $773.12	Professional		$359.74	$501.69	$773.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.56 / $415.15 / $626.50	Professional		$333.56	$415.15	$626.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $383.59 / $521.80 / $765.00	Facility		$383.59	$521.80	$765.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $458.00 / $559.00 / $822.26	Professional		$458.00	$559.00	$822.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.59 / $494.62 / $846.88	Facility		$380.59	$494.62	$846.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $380.59 / $494.62 / $846.88	Professional		$380.59	$494.62	$846.88
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 $302.06 / $448.07 / $684.92	Professional		$302.06	$448.07	$684.92