Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.40 / $5,360.00 / $9,539.00	Facility		$725.40	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.28 / $693.55 / $850.24	Professional		$551.28	$693.55	$850.24
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 $572.54 / $732.16 / $1,034.98	Professional		$572.54	$732.16	$1,034.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $611.25 / $660.20 / $1,191.94	Professional		$611.25	$660.20	$1,191.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $988.00 / $1,896.02	Facility		$605.00	$988.00	$1,896.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.41 / $743.26 / $1,335.12	Professional		$528.41	$743.26	$1,335.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.29 / $701.87 / $993.21	Professional		$578.29	$701.87	$993.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.50 / $792.87 / $1,172.09	Facility		$630.50	$792.87	$1,172.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $841.87 / $1,433.81	Professional		$682.00	$841.87	$1,433.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $603.90 / $745.20 / $1,446.36	Facility		$603.90	$745.20	$1,446.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $603.90 / $745.20 / $1,446.36	Professional		$603.90	$745.20	$1,446.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $8,246.00 / $17,187.00	Facility		$1,236.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.45 / $706.81 / $1,164.16	Professional		$476.45	$706.81	$1,164.16