Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.70 / $3,633.00 / $8,294.00	Facility		$336.70	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.41 / $384.08 / $699.69	Professional		$305.41	$384.08	$699.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.17 / $406.43 / $573.54	Professional		$321.17	$406.43	$573.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $376.83 / $740.59 / $2,764.00	Professional		$376.83	$740.59	$2,764.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $581.53 / $581.53 / $581.53	Facility		$581.53	$581.53	$581.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.33 / $436.00 / $711.73	Professional		$324.33	$436.00	$711.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.40 / $424.00 / $542.21	Professional		$360.40	$424.00	$542.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $334.21 / $450.07 / $750.21	Facility		$334.21	$450.07	$750.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $531.00 / $732.22	Professional		$462.00	$531.00	$732.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $313.58 / $434.16 / $2,628.00	Facility		$313.58	$434.16	$2,628.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $329.73 / $470.91 / $2,628.00	Professional		$329.73	$470.91	$2,628.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,890.00 / $3,765.00	Facility		$1,066.00	$1,890.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.43 / $368.21 / $621.70	Professional		$273.43	$368.21	$621.70