Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.80 / $5,087.00 / $8,920.00	Facility		$847.80	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $766.81 / $842.82 / $856.31	Professional		$766.81	$842.82	$856.31
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 $603.02 / $759.82 / $1,042.25	Professional		$603.02	$759.82	$1,042.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,005.80 / $1,117.55 / $1,117.55	Professional		$1,005.80	$1,117.55	$1,117.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $611.91 / $611.91	Facility		$611.91	$611.91	$611.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,724.70 / $3,724.70 / $3,724.70	Professional		$3,724.70	$3,724.70	$3,724.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.64 / $894.87 / $1,138.46	Professional		$760.64	$894.87	$1,138.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $721.69 / $847.80 / $1,291.20	Facility		$721.69	$847.80	$1,291.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $884.00 / $1,086.00 / $1,318.00	Professional		$884.00	$1,086.00	$1,318.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $755.26 / $1,005.72 / $4,462.00	Facility		$755.26	$1,005.72	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $755.26 / $1,005.72 / $4,462.00	Professional		$755.26	$1,005.72	$4,462.00
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 $637.76 / $865.29 / $1,429.25	Professional		$637.76	$865.29	$1,429.25