Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.11 / $4,179.00 / $8,294.00	Facility		$867.11	$4,179.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.07 / $782.35 / $1,229.93	Professional		$632.07	$782.35	$1,229.93
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 $642.63 / $871.60 / $1,243.94	Professional		$642.63	$871.60	$1,243.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $732.47 / $732.47 / $4,716.00	Professional		$732.47	$732.47	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,134.14 / $1,134.14 / $1,134.14	Facility		$1,134.14	$1,134.14	$1,134.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $647.80 / $878.73 / $1,558.86	Professional		$647.80	$878.73	$1,558.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.84 / $982.24 / $1,169.33	Professional		$879.84	$982.24	$1,169.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $629.23 / $859.63 / $1,220.47	Facility		$629.23	$859.63	$1,220.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $970.00 / $1,160.00 / $1,640.00	Professional		$970.00	$1,160.00	$1,640.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $643.83 / $859.98 / $5,502.98	Facility		$643.83	$859.98	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $756.30 / $1,025.70 / $5,502.98	Professional		$756.30	$1,025.70	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $610.21 / $872.21 / $1,486.17	Professional		$610.21	$872.21	$1,486.17