Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.51 / $3,633.00 / $8,294.00	Facility		$770.51	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.02 / $770.51 / $1,088.00	Professional		$656.02	$770.51	$1,088.00
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 $659.48 / $860.20 / $1,232.18	Professional		$659.48	$860.20	$1,232.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $796.14 / $796.14 / $2,413.00	Professional		$796.14	$796.14	$2,413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,191.29 / $1,191.29 / $1,191.29	Facility		$1,191.29	$1,191.29	$1,191.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.88 / $910.61 / $1,572.29	Professional		$677.88	$910.61	$1,572.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $849.35 / $938.75 / $1,117.56	Professional		$849.35	$938.75	$1,117.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $659.61 / $846.68 / $1,267.10	Facility		$659.61	$846.68	$1,267.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $994.00 / $1,153.00 / $1,698.30	Professional		$994.00	$1,153.00	$1,698.30
Sentara Facility/Professional Facility Modifier Low / Median / High Price $667.58 / $936.20 / $3,284.14	Facility		$667.58	$936.20	$3,284.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $726.53 / $1,058.70 / $3,440.00	Professional		$726.53	$1,058.70	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $649.16 / $845.15 / $1,439.53	Professional		$649.16	$845.15	$1,439.53