Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.48 / $3,645.00 / $8,294.00	Facility		$565.48	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.31 / $545.52 / $689.39	Professional		$399.31	$545.52	$689.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.01 / $620.94 / $1,026.59	Professional		$475.01	$620.94	$1,026.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.64 / $501.64 / $3,448.00	Professional		$501.64	$501.64	$3,448.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $592.57	Facility		$572.00	$572.00	$592.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.09 / $573.94 / $1,128.97	Professional		$415.09	$573.94	$1,128.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.98 / $647.03 / $764.67	Professional		$499.98	$647.03	$764.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $481.65 / $616.88 / $959.89	Facility		$481.65	$616.88	$959.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $518.00 / $635.00 / $956.00	Professional		$518.00	$635.00	$956.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $425.21 / $594.08 / $1,683.00	Facility		$425.21	$594.08	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $425.21 / $594.08 / $1,683.00	Professional		$425.21	$594.08	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.26 / $561.79 / $951.16	Professional		$346.26	$561.79	$951.16