Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.69 / $3,633.00 / $8,294.00	Facility		$398.69	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.48 / $407.09 / $603.08	Professional		$352.48	$407.09	$603.08
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 $372.68 / $473.81 / $669.92	Professional		$372.68	$473.81	$669.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $441.95 / $881.26 / $3,426.00	Professional		$441.95	$881.26	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.54 / $675.54 / $675.54	Facility		$675.54	$675.54	$675.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.73 / $534.39 / $842.01	Professional		$383.73	$534.39	$842.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.97 / $516.44 / $656.48	Professional		$438.97	$516.44	$656.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $390.10 / $539.87 / $815.03	Facility		$390.10	$539.87	$815.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $567.00 / $640.00 / $880.18	Professional		$567.00	$640.00	$880.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $390.11 / $510.10 / $7,420.00	Facility		$390.11	$510.10	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $568.41 / $7,420.00	Professional		$426.84	$568.41	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.69 / $454.87 / $735.69	Professional		$328.69	$454.87	$735.69