Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $3,645.00 / $8,294.00	Facility		$1,088.00	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.39 / $830.08 / $1,492.87	Professional		$681.39	$830.08	$1,492.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.24 / $932.12 / $1,287.67	Professional		$718.24	$932.12	$1,287.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $694.68 / $694.68 / $3,774.00	Professional		$694.68	$694.68	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $899.04 / $899.04 / $899.04	Facility		$899.04	$899.04	$899.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.34 / $935.39 / $1,578.92	Professional		$758.34	$935.39	$1,578.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.03 / $919.61 / $1,094.78	Professional		$832.03	$919.61	$1,094.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $714.89 / $897.62 / $1,252.60	Facility		$714.89	$897.62	$1,252.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $992.00 / $1,122.00 / $1,857.48	Professional		$992.00	$1,122.00	$1,857.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $730.99 / $1,012.37 / $3,401.23	Facility		$730.99	$1,012.37	$3,401.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $730.99 / $1,012.37 / $3,401.23	Professional		$730.99	$1,012.37	$3,401.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.20 / $852.38 / $1,456.78	Professional		$615.20	$852.38	$1,456.78