Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,890.00 / $2,997.00	Facility		$765.00	$1,890.00	$2,997.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $765.00 / $1,050.00	Professional		$400.00	$765.00	$1,050.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $4,423.50	Facility		$900.00	$900.00	$4,423.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $575.30	Professional		$360.00	$360.00	$575.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $890.88 / $1,798.10	Professional		$720.00	$890.88	$1,798.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.00 / $1,533.03 / $4,080.76	Facility		$585.00	$1,533.03	$4,080.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.65 / $546.33 / $1,485.57	Professional		$443.65	$546.33	$1,485.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,080.00 / $1,332.00	Professional		$900.00	$1,080.00	$1,332.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $749.25 / $1,035.00 / $1,530.00	Facility		$749.25	$1,035.00	$1,530.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $1,260.00 / $2,160.00	Professional		$900.00	$1,260.00	$2,160.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $1,081.80 / $9,929.00	Facility		$738.00	$1,081.80	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $738.00 / $1,081.80 / $9,929.00	Professional		$738.00	$1,081.80	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $468.00 / $1,035.00	Professional		$378.00	$468.00	$1,035.00