Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.03 / $5,048.00 / $10,767.00	Facility		$971.03	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $621.76 / $941.91 / $971.03	Professional		$621.76	$941.91	$971.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.22 / $890.90 / $1,248.08	Professional		$632.22	$890.90	$1,248.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $133.44 / $133.44 / $133.44	Professional		$133.44	$133.44	$133.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $925.00	Facility		$490.00	$610.00	$925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.00 / $1,068.08 / $1,925.43	Professional		$651.00	$1,068.08	$1,925.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.23 / $908.03 / $1,119.90	Professional		$748.23	$908.03	$1,119.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $761.15 / $1,022.29 / $1,543.94	Facility		$761.15	$1,022.29	$1,543.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,125.00 / $1,390.20 / $2,591.00	Professional		$1,125.00	$1,390.20	$2,591.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $666.62 / $939.90 / $1,820.19	Facility		$666.62	$939.90	$1,820.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $666.62 / $939.90 / $1,820.19	Professional		$666.62	$939.90	$1,820.19
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $6,380.00	Facility		$327.00	$2,397.00	$6,380.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.61 / $957.63 / $1,685.47	Professional		$528.61	$957.63	$1,685.47