Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.16 / $2,705.00 / $8,082.11	Facility		$802.16	$2,705.00	$8,082.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $849.48 / $1,543.87	Professional		$646.99	$849.48	$1,543.87
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 $682.61 / $909.84 / $1,283.74	Professional		$682.61	$909.84	$1,283.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $783.21 / $783.21 / $3,774.00	Professional		$783.21	$783.21	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.22 / $1,208.22 / $1,208.22	Facility		$1,208.22	$1,208.22	$1,208.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.78 / $941.24 / $1,647.43	Professional		$695.78	$941.24	$1,647.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $906.61 / $1,012.13 / $1,204.91	Professional		$906.61	$1,012.13	$1,204.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $681.59 / $898.11 / $1,351.23	Facility		$681.59	$898.11	$1,351.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,060.00 / $1,207.00 / $1,693.00	Professional		$1,060.00	$1,207.00	$1,693.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $684.43 / $944.75 / $3,147.19	Facility		$684.43	$944.75	$3,147.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $820.25 / $1,103.27 / $3,440.00	Professional		$820.25	$1,103.27	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,889.00	Facility		$1,911.00	$3,276.00	$5,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $677.33 / $933.24 / $1,690.36	Professional		$677.33	$933.24	$1,690.36