Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.13 / $5,412.00 / $9,539.00	Facility		$812.13	$5,412.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.97 / $521.52 / $1,022.17	Professional		$455.97	$521.52	$1,022.17
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 $418.58 / $535.27 / $734.12	Professional		$418.58	$535.27	$734.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $504.08 / $725.14 / $5,895.00	Professional		$504.08	$725.14	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.78 / $607.13 / $1,125.91	Professional		$457.78	$607.13	$1,125.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.76 / $520.51 / $641.96	Professional		$433.76	$520.51	$641.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $508.49 / $630.48 / $923.64	Facility		$508.49	$630.48	$923.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $633.00 / $1,064.47	Professional		$572.00	$633.00	$1,064.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $462.87 / $601.66 / $3,512.00	Facility		$462.87	$601.66	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $462.87 / $601.66 / $3,512.00	Professional		$462.87	$601.66	$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 $377.35 / $580.10 / $995.35	Professional		$377.35	$580.10	$995.35