Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.35 / $3,855.25 / $8,294.00	Facility		$957.35	$3,855.25	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.71 / $900.12 / $1,627.49	Professional		$734.71	$900.12	$1,627.49
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 $758.88 / $990.71 / $1,410.22	Professional		$758.88	$990.71	$1,410.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $881.63 / $881.63 / $4,284.00	Professional		$881.63	$881.63	$4,284.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,336.65 / $1,336.65 / $1,336.65	Facility		$1,336.65	$1,336.65	$1,336.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $766.01 / $995.94 / $1,796.34	Professional		$766.01	$995.94	$1,796.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.97 / $1,087.53 / $1,294.68	Professional		$977.97	$1,087.53	$1,294.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.83 / $981.95 / $1,367.08	Facility		$744.83	$981.95	$1,367.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,315.00 / $1,869.02	Professional		$1,092.00	$1,315.00	$1,869.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.95 / $1,017.59 / $3,440.00	Facility		$758.95	$1,017.59	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $826.62 / $1,147.91 / $3,440.00	Professional		$826.62	$1,147.91	$3,440.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,175.00 / $5,340.00	Facility		$1,911.00	$3,175.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.43 / $966.93 / $1,649.47	Professional		$700.43	$966.93	$1,649.47