Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $934.28 / $5,412.00 / $11,024.00	Facility		$934.28	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.61 / $934.28 / $1,020.66	Professional		$781.61	$934.28	$1,020.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.32 / $967.17 / $1,326.47	Professional		$756.32	$967.17	$1,326.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $916.00 / $1,783.76	Professional		$794.00	$916.00	$1,783.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.58 / $1,104.15 / $2,050.08	Professional		$833.58	$1,104.15	$2,050.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.69 / $941.63 / $1,161.33	Professional		$784.69	$941.63	$1,161.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $890.95 / $1,145.03 / $1,604.21	Facility		$890.95	$1,145.03	$1,604.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,053.00 / $1,163.00 / $1,923.29	Professional		$1,053.00	$1,163.00	$1,923.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $844.65 / $1,109.47 / $5,122.00	Facility		$844.65	$1,109.47	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $844.65 / $1,109.47 / $5,122.00	Professional		$844.65	$1,109.47	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.91 / $1,019.02 / $1,707.19	Professional		$695.91	$1,019.02	$1,707.19