Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $3,388.44 / $8,317.64	Facility		$190.55	$3,388.44	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,548.82 / $3,467.37	Professional		$162.18	$1,548.82	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $2,137.96 / $4,265.80	Professional		$186.21	$2,137.96	$4,265.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $5,495.41	Professional		$177.83	$257.04	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $2,137.96 / $5,248.07	Professional		$190.55	$2,137.96	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $3,019.95 / $3,801.89	Professional		$144.54	$3,019.95	$3,801.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $2,398.83 / $5,128.61	Facility		$177.83	$2,398.83	$5,128.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $234.42 / $10,000.00	Facility		$165.96	$234.42	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $10,964.78	Professional		$2,818.38	$4,073.80	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $1,348.96 / $5,888.44	Professional		$154.88	$1,348.96	$5,888.44