Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $802.83 / $4,347.00 / $8,294.00	Facility		$802.83	$4,347.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $750.37 / $1,018.43	Professional		$578.48	$750.37	$1,018.43
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 $616.29 / $819.07 / $1,154.66	Professional		$616.29	$819.07	$1,154.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $736.30 / $736.30 / $3,426.00	Professional		$736.30	$736.30	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,095.68 / $1,095.68 / $1,095.68	Facility		$1,095.68	$1,095.68	$1,095.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.95 / $846.63 / $1,508.60	Professional		$632.95	$846.63	$1,508.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.66 / $913.56 / $1,087.58	Professional		$824.66	$913.56	$1,087.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $621.74 / $851.00 / $1,224.85	Facility		$621.74	$851.00	$1,224.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $1,133.00 / $1,603.00	Professional		$998.00	$1,133.00	$1,603.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $655.19 / $865.20 / $3,159.48	Facility		$655.19	$865.20	$3,159.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $731.74 / $1,003.86 / $3,440.00	Professional		$731.74	$1,003.86	$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 $615.32 / $853.69 / $1,456.33	Professional		$615.32	$853.69	$1,456.33