Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.50 / $3,988.00 / $8,294.00	Facility		$945.50	$3,988.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.91 / $879.78 / $1,611.15	Professional		$705.91	$879.78	$1,611.15
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 $724.82 / $971.97 / $1,366.77	Professional		$724.82	$971.97	$1,366.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $850.35 / $850.35 / $3,426.00	Professional		$850.35	$850.35	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,285.83 / $1,285.83 / $1,285.83	Facility		$1,285.83	$1,285.83	$1,285.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.54 / $1,018.52 / $1,766.49	Professional		$748.54	$1,018.52	$1,766.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $975.57 / $1,082.01 / $1,288.10	Professional		$975.57	$1,082.01	$1,288.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $730.28 / $998.97 / $1,458.03	Facility		$730.28	$998.97	$1,458.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,168.00 / $1,327.00 / $1,862.00	Professional		$1,168.00	$1,327.00	$1,862.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $762.30 / $1,038.07 / $3,398.99	Facility		$762.30	$1,038.07	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $892.65 / $1,201.84 / $3,440.00	Professional		$892.65	$1,201.84	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $738.20 / $951.68 / $1,640.40	Professional		$738.20	$951.68	$1,640.40