Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.24 / $4,989.00 / $8,294.00	Facility		$893.24	$4,989.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $657.87 / $809.37 / $1,480.00	Professional		$657.87	$809.37	$1,480.00
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 $674.99 / $909.72 / $1,284.72	Professional		$674.99	$909.72	$1,284.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $788.06 / $788.06 / $3,426.00	Professional		$788.06	$788.06	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,195.28 / $1,195.28 / $1,195.28	Facility		$1,195.28	$1,195.28	$1,195.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.81 / $938.09 / $1,638.48	Professional		$695.81	$938.09	$1,638.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $916.22 / $1,019.48 / $1,213.66	Professional		$916.22	$1,019.48	$1,213.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $679.20 / $911.36 / $1,339.91	Facility		$679.20	$911.36	$1,339.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,077.00 / $1,226.00 / $1,722.00	Professional		$1,077.00	$1,226.00	$1,722.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $709.51 / $957.34 / $3,385.99	Facility		$709.51	$957.34	$3,385.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $809.26 / $1,104.15 / $3,440.00	Professional		$809.26	$1,104.15	$3,440.00
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 $666.18 / $914.48 / $1,573.67	Professional		$666.18	$914.48	$1,573.67