Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.83 / $5,048.00 / $10,767.00	Facility		$914.83	$5,048.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.39 / $914.83 / $1,060.53	Professional		$905.39	$914.83	$1,060.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.59 / $993.94 / $1,384.81	Professional		$789.59	$993.94	$1,384.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $2,236.00 / $3,019.00 / $5,118.00	Professional		$2,236.00	$3,019.00	$5,118.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,152.40 / $1,152.40 / $1,152.40	Facility		$1,152.40	$1,152.40	$1,152.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,543.24 / $4,543.24 / $4,543.24	Professional		$4,543.24	$4,543.24	$4,543.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.50 / $1,165.80 / $1,412.73	Professional		$971.50	$1,165.80	$1,412.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.83 / $1,092.34 / $1,590.80	Facility		$914.83	$1,092.34	$1,590.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,266.08 / $1,664.00 / $2,256.23	Professional		$1,266.08	$1,664.00	$2,256.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $924.87 / $1,404.95 / $9,040.00	Facility		$924.87	$1,404.95	$9,040.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $924.87 / $1,404.95 / $9,040.00	Professional		$924.87	$1,404.95	$9,040.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,416.00 / $10,439.00 / $21,639.00	Facility		$6,416.00	$10,439.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $735.46 / $1,032.95 / $1,900.83	Professional		$735.46	$1,032.95	$1,900.83