Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.23 / $4,771.00 / $8,920.00	Facility		$808.23	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.53 / $808.23 / $868.73	Professional		$670.53	$808.23	$868.73
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 $606.97 / $766.71 / $1,064.53	Professional		$606.97	$766.71	$1,064.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $834.99 / $927.77 / $927.77	Professional		$834.99	$927.77	$927.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $893.62 / $893.62 / $893.62	Facility		$893.62	$893.62	$893.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,720.03 / $3,720.03 / $3,720.03	Professional		$3,720.03	$3,720.03	$3,720.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.17 / $870.79 / $1,107.88	Professional		$740.17	$870.79	$1,107.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $439.52 / $808.23 / $1,230.93	Facility		$439.52	$808.23	$1,230.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,085.00 / $1,315.00 / $1,848.17	Professional		$1,085.00	$1,315.00	$1,848.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $653.91 / $1,041.43 / $10,945.00	Facility		$653.91	$1,041.43	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $653.91 / $1,041.43 / $10,945.00	Professional		$653.91	$1,041.43	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $552.38 / $755.17 / $1,273.08	Professional		$552.38	$755.17	$1,273.08