Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.50 / $2,561.00 / $8,294.00	Facility		$492.50	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.95 / $492.50 / $577.80	Professional		$427.95	$492.50	$577.80
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 $407.79 / $513.15 / $744.35	Professional		$407.79	$513.15	$744.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $476.77 / $685.80 / $4,716.00	Professional		$476.77	$685.80	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.45 / $599.75 / $1,074.86	Professional		$437.45	$599.75	$1,074.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $528.00 / $651.20	Professional		$440.00	$528.00	$651.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $481.48 / $601.10 / $867.21	Facility		$481.48	$601.10	$867.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $570.00 / $638.00 / $1,004.62	Professional		$570.00	$638.00	$1,004.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $437.10 / $570.54 / $3,512.00	Facility		$437.10	$570.54	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $474.47 / $605.84 / $3,512.00	Professional		$474.47	$605.84	$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 $389.00 / $653.02 / $996.18	Professional		$389.00	$653.02	$996.18