Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.13 / $3,633.00 / $8,294.00	Facility		$840.13	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.66 / $840.13 / $959.74	Professional		$717.66	$840.13	$959.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.58 / $927.40 / $1,329.63	Professional		$715.58	$927.40	$1,329.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $805.87 / $805.87 / $5,895.00	Professional		$805.87	$805.87	$5,895.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,278.85 / $1,278.85 / $1,278.85	Facility		$1,278.85	$1,278.85	$1,278.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.45 / $958.18 / $1,715.95	Professional		$725.45	$958.18	$1,715.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.14 / $1,010.49 / $1,202.96	Professional		$913.14	$1,010.49	$1,202.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $714.13 / $929.88 / $1,367.56	Facility		$714.13	$929.88	$1,367.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,186.55 / $1,773.98	Professional		$1,040.00	$1,186.55	$1,773.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $727.03 / $997.96 / $7,030.19	Facility		$727.03	$997.96	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $777.59 / $1,089.04 / $7,030.19	Professional		$777.59	$1,089.04	$7,030.19
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.35 / $933.26 / $1,601.10	Professional		$653.35	$933.26	$1,601.10