Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.49 / $5,360.00 / $9,975.00	Facility		$674.49	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.52 / $674.49 / $737.47	Professional		$559.52	$674.49	$737.47
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 $548.88 / $701.90 / $962.65	Professional		$548.88	$701.90	$962.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.14 / $937.50 / $4,284.00	Professional		$660.14	$937.50	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.01 / $797.12 / $1,479.03	Professional		$600.01	$797.12	$1,479.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.36 / $683.23 / $842.65	Professional		$569.36	$683.23	$842.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $648.09 / $827.78 / $1,166.36	Facility		$648.09	$827.78	$1,166.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $749.00 / $827.00 / $1,396.01	Professional		$749.00	$827.00	$1,396.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $587.86 / $800.30 / $3,512.00	Facility		$587.86	$800.30	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $587.86 / $800.30 / $3,512.00	Professional		$587.86	$800.30	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.73 / $762.20 / $1,293.94	Professional		$495.73	$762.20	$1,293.94