Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.19 / $3,991.00 / $8,920.00	Facility		$497.19	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.25 / $497.19 / $831.27	Professional		$415.25	$497.19	$831.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,104.00 / $9,336.50 / $13,003.86	Facility		$4,104.00	$9,336.50	$13,003.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.63 / $554.52 / $760.52	Professional		$433.63	$554.52	$760.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $527.32 / $669.83 / $967.53	Professional		$527.32	$669.83	$967.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.55 / $581.11 / $1,122.21	Professional		$446.55	$581.11	$1,122.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.66 / $522.79 / $644.78	Professional		$435.66	$522.79	$644.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.01 / $605.32 / $854.63	Facility		$467.01	$605.32	$854.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $544.00 / $621.00 / $1,061.00	Professional		$544.00	$621.00	$1,061.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $453.67 / $589.88 / $1,973.83	Facility		$453.67	$589.88	$1,973.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $453.67 / $589.88 / $1,973.83	Professional		$453.67	$589.88	$1,973.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.50 / $600.02 / $992.09	Professional		$372.50	$600.02	$992.09