Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $5,495.41	Facility		$912.01	$912.01	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $912.01	Professional		$851.14	$870.96	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,479.11 / $2,511.89	Facility		$741.31	$1,479.11	$2,511.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $851.14 / $1,412.54	Professional		$831.76	$851.14	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $1,000.00	Professional		$181.97	$257.04	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,071.52 / $1,479.11	Facility		$302.00	$1,071.52	$1,479.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,288.25	Facility		$831.76	$1,000.00	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,288.25	Professional		$831.76	$1,000.00	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $741.31 / $1,174.90	Facility		$707.95	$741.31	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,071.52	Professional		$891.25	$891.25	$1,071.52