Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.72 / $3,633.00 / $8,294.00	Facility		$389.72	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.68 / $389.72 / $580.23	Professional		$338.68	$389.72	$580.23
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 $356.11 / $450.52 / $635.77	Professional		$356.11	$450.52	$635.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.90 / $814.67 / $3,426.00	Professional		$416.90	$814.67	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $646.05 / $646.05 / $646.05	Facility		$646.05	$646.05	$646.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.16 / $506.25 / $824.02	Professional		$359.16	$506.25	$824.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.46 / $495.84 / $633.63	Professional		$421.46	$495.84	$633.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $370.52 / $517.99 / $782.34	Facility		$370.52	$517.99	$782.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $613.00 / $851.52	Professional		$540.00	$613.00	$851.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $370.52 / $482.37 / $3,398.99	Facility		$370.52	$482.37	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $417.16 / $544.39 / $3,398.99	Professional		$417.16	$544.39	$3,398.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,533.00 / $5,889.00	Facility		$1,911.00	$3,533.00	$5,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $435.65 / $802.54	Professional		$319.27	$435.65	$802.54