Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.40 / $5,412.00 / $11,425.00	Facility		$899.40	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.39 / $899.40 / $1,087.23	Professional		$687.39	$899.40	$1,087.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.63 / $972.68 / $1,334.03	Professional		$760.63	$972.68	$1,334.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $963.45 / $1,108.42 / $1,929.84	Professional		$963.45	$1,108.42	$1,929.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.06 / $1,069.10 / $2,040.45	Professional		$794.06	$1,069.10	$2,040.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.71 / $932.05 / $1,149.53	Professional		$776.71	$932.05	$1,149.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $772.98 / $1,089.36 / $1,579.04	Facility		$772.98	$1,089.36	$1,579.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $1,135.00 / $1,922.69	Professional		$998.00	$1,135.00	$1,922.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $819.63 / $1,069.48 / $5,122.00	Facility		$819.63	$1,069.48	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $819.63 / $1,069.48 / $5,122.00	Professional		$819.63	$1,069.48	$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 $677.30 / $1,107.78 / $1,793.37	Professional		$677.30	$1,107.78	$1,793.37