Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.85 / $2,561.00 / $8,294.00	Facility		$631.85	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.86 / $635.88 / $1,008.70	Professional		$544.86	$635.88	$1,008.70
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 $573.16 / $724.69 / $1,022.67	Professional		$573.16	$724.69	$1,022.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $671.30 / $1,311.59 / $6,694.00	Professional		$671.30	$1,311.59	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.32 / $1,037.32 / $1,037.32	Facility		$1,037.32	$1,037.32	$1,037.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.66 / $827.85 / $1,344.46	Professional		$582.66	$827.85	$1,344.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.24 / $807.34 / $1,030.30	Professional		$686.24	$807.34	$1,030.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.33 / $843.11 / $1,239.50	Facility		$602.33	$843.11	$1,239.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $875.00 / $1,008.00 / $1,398.23	Professional		$875.00	$1,008.00	$1,398.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $590.04 / $780.12 / $7,420.00	Facility		$590.04	$780.12	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $696.16 / $894.44 / $7,420.00	Professional		$696.16	$894.44	$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 $514.16 / $721.39 / $1,301.89	Professional		$514.16	$721.39	$1,301.89