Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.23 / $4,771.00 / $9,539.00	Facility		$549.23	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.92 / $549.23 / $665.40	Professional		$438.92	$549.23	$665.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.53 / $541.78 / $755.13	Professional		$425.53	$541.78	$755.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $544.29 / $544.29 / $1,061.38	Professional		$544.29	$544.29	$1,061.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.03 / $725.10 / $1,453.89	Professional		$468.03	$725.10	$1,453.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.58 / $528.69 / $652.05	Professional		$440.58	$528.69	$652.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $455.12 / $648.94 / $963.20	Facility		$455.12	$648.94	$963.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $758.00 / $1,088.16	Professional		$608.00	$758.00	$1,088.16
Sentara Facility/Professional Facility Modifier Low / Median / High Price $499.33 / $839.49 / $3,658.00	Facility		$499.33	$839.49	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $499.33 / $839.49 / $3,658.00	Professional		$499.33	$839.49	$3,658.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.75 / $750.07 / $1,054.36	Professional		$424.75	$750.07	$1,054.36