Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.75 / $2,442.00 / $7,275.00	Facility		$964.75	$2,442.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.40 / $964.75 / $1,768.86	Professional		$774.40	$964.75	$1,768.86
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 $804.47 / $1,062.10 / $1,495.76	Professional		$804.47	$1,062.10	$1,495.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $941.41 / $941.41 / $3,426.00	Professional		$941.41	$941.41	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,423.37 / $1,423.37 / $1,423.37	Facility		$1,423.37	$1,423.37	$1,423.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.92 / $1,076.75 / $1,911.73	Professional		$812.92	$1,076.75	$1,911.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,054.60 / $1,169.35 / $1,392.10	Professional		$1,054.60	$1,169.35	$1,392.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $792.07 / $1,056.89 / $1,480.43	Facility		$792.07	$1,056.89	$1,480.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,185.00 / $1,424.00 / $2,003.00	Professional		$1,185.00	$1,424.00	$2,003.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $838.90 / $1,101.49 / $3,440.00	Facility		$838.90	$1,101.49	$3,440.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $887.67 / $1,237.58 / $3,440.00	Professional		$887.67	$1,237.58	$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 $751.70 / $1,044.27 / $1,827.19	Professional		$751.70	$1,044.27	$1,827.19