Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $4,796.00 / $9,539.00	Facility		$630.51	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.69 / $641.90 / $1,180.01	Professional		$464.69	$641.90	$1,180.01
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 $493.87 / $631.54 / $876.97	Professional		$493.87	$631.54	$876.97
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $740.80 / $947.32 / $1,315.45	Professional	50	$740.80	$947.32	$1,315.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.00 / $1,121.25 / $4,337.00	Professional		$575.00	$1,121.25	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $889.07 / $889.07 / $889.07	Facility		$889.07	$889.07	$889.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $736.39 / $1,340.33	Professional		$502.00	$736.39	$1,340.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.04 / $817.69 / $1,034.84	Professional		$695.04	$817.69	$1,034.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.68 / $754.15 / $1,230.22	Facility		$504.68	$754.15	$1,230.22
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $859.50 / $1,259.67 / $3,064.48	Facility	50	$859.50	$1,259.67	$3,064.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $995.00 / $1,352.00	Professional		$885.00	$995.00	$1,352.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.37 / $666.76 / $7,420.00	Facility		$467.37	$666.76	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $543.65 / $906.44 / $7,420.00	Professional		$543.65	$906.44	$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 $513.14 / $730.33 / $1,300.25	Professional		$513.14	$730.33	$1,300.25