Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.17 / $3,912.00 / $8,920.00	Facility		$431.17	$3,912.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.96 / $431.17 / $845.58	Professional		$376.96	$431.17	$845.58
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 $400.44 / $512.08 / $702.31	Professional		$400.44	$512.08	$702.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $487.75 / $613.78 / $916.00	Professional		$487.75	$613.78	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.24 / $521.26 / $1,029.97	Professional		$410.24	$521.26	$1,029.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.57 / $484.28 / $597.28	Professional		$403.57	$484.28	$597.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $431.17 / $532.25 / $789.04	Facility		$431.17	$532.25	$789.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $567.00 / $909.00	Professional		$497.00	$567.00	$909.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $414.19 / $537.97 / $1,928.00	Facility		$414.19	$537.97	$1,928.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $414.19 / $537.97 / $1,928.00	Professional		$414.19	$537.97	$1,928.00
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 $341.88 / $551.30 / $864.94	Professional		$341.88	$551.30	$864.94