Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.75 / $5,087.00 / $8,920.00	Facility		$328.75	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $328.75 / $414.40	Professional		$272.44	$328.75	$414.40
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 $262.76 / $336.02 / $460.85	Professional		$262.76	$336.02	$460.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $452.82 / $4,716.00	Professional		$313.22	$452.82	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.55 / $389.54 / $719.30	Professional		$292.55	$389.54	$719.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.04 / $326.45 / $402.62	Professional		$272.04	$326.45	$402.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $307.06 / $403.47 / $575.49	Facility		$307.06	$403.47	$575.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $419.00 / $667.78	Professional		$366.00	$419.00	$667.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $298.43 / $393.41 / $3,512.00	Facility		$298.43	$393.41	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $298.43 / $393.41 / $3,512.00	Professional		$298.43	$393.41	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.30 / $410.52 / $623.28	Professional		$251.30	$410.52	$623.28