Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.94 / $4,796.00 / $9,918.00	Facility		$873.94	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.97 / $873.94 / $1,084.76	Professional		$709.97	$873.94	$1,084.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,168.00 / $4,733.93 / $6,626.56	Facility		$3,168.00	$4,733.93	$6,626.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $709.82 / $924.90 / $1,295.02	Professional		$709.82	$924.90	$1,295.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $862.71 / $877.75 / $1,682.28	Professional		$862.71	$877.75	$1,682.28
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 $638.15 / $935.09 / $1,703.50	Professional		$638.15	$935.09	$1,703.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.27 / $900.87 / $1,274.49	Professional		$729.27	$900.87	$1,274.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $742.85 / $974.92 / $1,476.96	Facility		$742.85	$974.92	$1,476.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $886.00 / $1,088.85 / $1,815.00	Professional		$886.00	$1,088.85	$1,815.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $723.41 / $941.68 / $1,750.00	Facility		$723.41	$941.68	$1,750.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $723.41 / $941.68 / $1,750.00	Professional		$723.41	$941.68	$1,750.00
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $595.70 / $865.13 / $1,472.00	Professional		$595.70	$865.13	$1,472.00