Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.90 / $5,412.00 / $11,425.00	Facility		$385.90	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.33 / $1,496.93 / $2,039.32	Professional		$294.33	$1,496.93	$2,039.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $4,822.00 / $13,897.00	Facility		$3,537.00	$4,822.00	$13,897.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.79 / $978.53 / $2,269.67	Professional		$350.79	$978.53	$2,269.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $391.12 / $558.12 / $5,354.00	Professional		$391.12	$558.12	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.62 / $1,318.91 / $3,435.31	Professional		$379.62	$1,318.91	$3,435.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.73 / $1,816.48 / $2,262.44	Professional		$1,513.73	$1,816.48	$2,262.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $385.89 / $1,506.40 / $3,446.45	Facility		$385.89	$1,506.40	$3,446.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,262.00 / $2,632.00 / $3,824.00	Professional		$2,262.00	$2,632.00	$3,824.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $361.55 / $475.12 / $6,585.00	Facility		$361.55	$475.12	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,793.62 / $2,625.14 / $7,860.40	Professional		$1,793.62	$2,625.14	$7,860.40
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $28,192.00	Facility		$6,693.00	$11,671.00	$28,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.04 / $2,771.27 / $4,143.53	Professional		$1,616.04	$2,771.27	$4,143.53