Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,147.50 / $1,350.00	Professional		$1,147.50	$1,147.50	$1,350.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,250.00 / $2,250.00 / $2,250.00	Professional		$2,250.00	$2,250.00	$2,250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,200.00	Facility		$1,150.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $977.50	Professional		$839.50	$977.50	$977.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $15.00 / $15.00	Professional		$13.00	$15.00	$15.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $913.80	Facility		$600.00	$600.00	$913.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,260.00 / $3,260.00 / $3,260.00	Professional		$3,260.00	$3,260.00	$3,260.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $280.80 / $2,925.00	Facility		$150.00	$280.80	$2,925.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $292.50 / $2,925.00	Professional		$150.00	$292.50	$2,925.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.49 / $466.20 / $1,500.00	Professional		$372.49	$466.20	$1,500.00