Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.60 / $4,691.00 / $8,294.00	Facility		$409.60	$4,691.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.54 / $409.60 / $643.70	Professional		$281.54	$409.60	$643.70
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 $302.10 / $386.32 / $537.11	Professional		$302.10	$386.32	$537.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $350.83 / $684.12 / $3,472.00	Professional		$350.83	$684.12	$3,472.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.77 / $541.77 / $541.77	Facility		$541.77	$541.77	$541.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.42 / $468.88 / $874.34	Professional		$312.42	$468.88	$874.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.15 / $537.82 / $677.01	Professional		$457.15	$537.82	$677.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $312.94 / $464.00 / $791.75	Facility		$312.94	$464.00	$791.75
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $594.00 / $775.50 / $1,998.02	Facility	50	$594.00	$775.50	$1,998.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $530.00 / $577.00 / $884.00	Professional		$530.00	$577.00	$884.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $296.30 / $401.20 / $7,420.00	Facility		$296.30	$401.20	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $419.24 / $579.91 / $7,420.00	Professional		$419.24	$579.91	$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 $317.49 / $453.71 / $766.87	Professional		$317.49	$453.71	$766.87