Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.68 / $5,087.00 / $8,294.00	Facility		$1,208.68	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.80 / $916.49 / $1,208.68	Professional		$706.80	$916.49	$1,208.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $819.13 / $1,071.98 / $1,514.92	Professional		$819.13	$1,071.98	$1,514.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $926.89 / $1,807.44 / $9,638.00	Professional		$926.89	$1,807.44	$9,638.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,034.95 / $1,034.95 / $1,034.95	Facility		$1,034.95	$1,034.95	$1,034.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.03 / $1,005.74 / $1,699.40	Professional		$722.03	$1,005.74	$1,699.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $863.06 / $1,015.36 / $1,291.82	Professional		$863.06	$1,015.36	$1,291.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $997.84 / $1,632.69	Facility		$744.00	$997.84	$1,632.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $963.00 / $1,118.00 / $1,763.50	Professional		$963.00	$1,118.00	$1,763.50
Sentara Facility/Professional Facility Modifier Low / Median / High Price $710.97 / $1,064.04 / $9,210.00	Facility		$710.97	$1,064.04	$9,210.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $710.97 / $1,064.04 / $9,210.00	Professional		$710.97	$1,064.04	$9,210.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.25 / $809.58 / $1,371.25	Professional		$576.25	$809.58	$1,371.25