Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.20 / $3,645.00 / $8,294.00	Facility		$655.20	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $417.25 / $515.21	Professional		$351.14	$417.25	$515.21
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 $345.04 / $446.45 / $631.10	Professional		$345.04	$446.45	$631.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $397.12 / $405.37 / $814.10	Professional		$397.12	$405.37	$814.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $610.00 / $1,572.88	Facility		$425.00	$610.00	$1,572.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $453.16 / $812.56	Professional		$341.88	$453.16	$812.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.79 / $446.00 / $612.96	Professional		$357.79	$446.00	$612.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $375.99 / $477.42 / $731.91	Facility		$375.99	$477.42	$731.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $422.00 / $512.00 / $876.43	Professional		$422.00	$512.00	$876.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $362.33 / $449.10 / $878.19	Facility		$362.33	$449.10	$878.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $362.33 / $449.10 / $878.19	Professional		$362.33	$449.10	$878.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $5,260.00 / $12,739.00	Facility		$1,078.00	$5,260.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.70 / $416.57 / $730.70	Professional		$277.70	$416.57	$730.70