Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.19 / $4,691.00 / $8,294.00	Facility		$835.19	$4,691.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.92 / $835.19 / $990.37	Professional		$693.92	$835.19	$990.37
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 $702.92 / $928.73 / $1,307.97	Professional		$702.92	$928.73	$1,307.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $814.98 / $814.98 / $4,716.00	Professional		$814.98	$814.98	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,244.02 / $1,244.02 / $1,244.02	Facility		$1,244.02	$1,244.02	$1,244.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.72 / $938.97 / $1,668.49	Professional		$709.72	$938.97	$1,668.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $926.63 / $1,033.07 / $1,229.84	Professional		$926.63	$1,033.07	$1,229.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $693.02 / $927.49 / $1,297.38	Facility		$693.02	$927.49	$1,297.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,036.00 / $1,232.00 / $1,733.00	Professional		$1,036.00	$1,232.00	$1,733.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $718.61 / $937.69 / $7,030.19	Facility		$718.61	$937.69	$7,030.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $783.30 / $1,089.79 / $7,030.19	Professional		$783.30	$1,089.79	$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 $649.76 / $927.11 / $1,607.29	Professional		$649.76	$927.11	$1,607.29