Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.85 / $3,633.00 / $8,294.00	Facility		$378.85	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.68 / $388.64 / $562.88	Professional		$338.68	$388.64	$562.88
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 $353.85 / $449.88 / $635.77	Professional		$353.85	$449.88	$635.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.90 / $813.89 / $4,284.00	Professional		$416.90	$813.89	$4,284.00
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 $350.45 / $500.45 / $800.88	Professional		$350.45	$500.45	$800.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.00 / $481.18 / $615.72	Professional		$409.00	$481.18	$615.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.30 / $508.02 / $802.85	Facility		$371.30	$508.02	$802.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $532.00 / $594.00 / $827.30	Professional		$532.00	$594.00	$827.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.65 / $479.57 / $7,420.00	Facility		$346.65	$479.57	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $387.77 / $531.91 / $7,420.00	Professional		$387.77	$531.91	$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 $311.81 / $414.00 / $736.73	Professional		$311.81	$414.00	$736.73