Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.79 / $3,645.00 / $8,294.00	Facility		$522.79	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.36 / $492.11 / $618.54	Professional		$406.36	$492.11	$618.54
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 $414.89 / $530.54 / $877.15	Professional		$414.89	$530.54	$877.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $530.09 / $547.38 / $7,889.00	Professional		$530.09	$547.38	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.28 / $506.28 / $572.00	Facility		$506.28	$506.28	$572.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.98 / $574.97 / $1,017.06	Professional		$426.98	$574.97	$1,017.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.15 / $553.15 / $645.44	Professional		$432.15	$553.15	$645.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $462.76 / $611.67 / $907.81	Facility		$462.76	$611.67	$907.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $661.00 / $881.45	Professional		$574.00	$661.00	$881.45
Sentara Facility/Professional Facility Modifier Low / Median / High Price $450.44 / $596.41 / $1,683.00	Facility		$450.44	$596.41	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $450.44 / $596.41 / $1,683.00	Professional		$450.44	$596.41	$1,683.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.38 / $572.99 / $910.55	Professional		$354.38	$572.99	$910.55