Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,630.78 / $10,000.00	Facility		$741.31	$3,630.78	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,288.25	Professional		$660.69	$794.33	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,258.93	Professional		$676.08	$891.25	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $10,000.00	Professional		$741.31	$1,148.15	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,412.54	Professional		$691.83	$933.25	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,862.09	Professional		$602.56	$741.31	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,621.81	Professional		$1,023.29	$1,258.93	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,548.82	Facility		$691.83	$1,023.29	$1,548.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $10,000.00	Facility		$676.08	$977.24	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $10,000.00	Professional		$676.08	$977.24	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,479.11	Professional		$588.84	$912.01	$1,479.11