Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.11 / $3,645.00 / $8,294.00	Facility		$632.11	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.59 / $632.11 / $1,225.63	Professional		$523.59	$632.11	$1,225.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.00 / $659.85 / $904.98	Professional		$516.00	$659.85	$904.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $621.11 / $893.45 / $5,895.00	Professional		$621.11	$893.45	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.07 / $747.04 / $1,385.20	Professional		$562.07	$747.04	$1,385.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.59 / $641.51 / $791.19	Professional		$534.59	$641.51	$791.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $608.94 / $775.78 / $1,095.83	Facility		$608.94	$775.78	$1,095.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $699.00 / $778.00 / $1,312.13	Professional		$699.00	$778.00	$1,312.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $551.83 / $746.29 / $5,122.00	Facility		$551.83	$746.29	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $551.83 / $746.29 / $5,122.00	Professional		$551.83	$746.29	$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 $488.54 / $763.01 / $1,224.58	Professional		$488.54	$763.01	$1,224.58