Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.91 / $5,360.00 / $9,975.00	Facility		$803.91	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $709.92 / $798.53 / $1,445.66	Professional		$709.92	$798.53	$1,445.66
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 $646.00 / $826.09 / $1,132.98	Professional		$646.00	$826.09	$1,132.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $775.21 / $1,120.05 / $3,426.00	Professional		$775.21	$1,120.05	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $710.98 / $943.72 / $1,751.21	Professional		$710.98	$943.72	$1,751.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $669.29 / $803.15 / $990.55	Professional		$669.29	$803.15	$990.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $786.13 / $980.02 / $1,437.30	Facility		$786.13	$980.02	$1,437.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $985.00 / $1,642.44	Professional		$885.00	$985.00	$1,642.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $698.05 / $941.22 / $5,122.00	Facility		$698.05	$941.22	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $698.05 / $941.22 / $5,122.00	Professional		$698.05	$941.22	$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 $609.02 / $925.84 / $1,548.14	Professional		$609.02	$925.84	$1,548.14