Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,897.79 / $8,912.51	Facility		$776.25	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,230.27	Professional		$602.56	$724.44	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,288.25	Professional		$691.83	$912.01	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $4,466.84	Professional		$812.83	$1,258.93	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,479.11	Professional		$602.56	$891.25	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,905.46	Professional		$602.56	$758.58	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,698.24	Professional		$933.25	$1,202.26	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $1,412.54	Facility		$630.96	$954.99	$1,412.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $10,000.00	Facility		$630.96	$954.99	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $10,000.00	Professional		$630.96	$954.99	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,445.44	Professional		$588.84	$891.25	$1,445.44