Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.91 / $3,633.00 / $8,294.00	Facility		$792.91	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $659.71 / $792.91 / $1,078.17	Professional		$659.71	$792.91	$1,078.17
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 $665.47 / $890.20 / $1,251.80	Professional		$665.47	$890.20	$1,251.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $778.79 / $778.79 / $3,774.00	Professional		$778.79	$778.79	$3,774.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,177.51 / $1,177.51 / $1,177.51	Facility		$1,177.51	$1,177.51	$1,177.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $677.76 / $911.32 / $1,600.10	Professional		$677.76	$911.32	$1,600.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.35 / $987.66 / $1,175.79	Professional		$889.35	$987.66	$1,175.79
Medcost Facility/Professional Facility Modifier Low / Median / High Price $667.82 / $906.12 / $1,262.49	Facility		$667.82	$906.12	$1,262.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,024.00 / $1,199.00 / $1,696.00	Professional		$1,024.00	$1,199.00	$1,696.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $696.05 / $908.71 / $3,147.19	Facility		$696.05	$908.71	$3,147.19
Sentara Facility/Professional Professional Modifier Low / Median / High Price $772.88 / $1,063.47 / $3,440.00	Professional		$772.88	$1,063.47	$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 $639.87 / $887.95 / $1,546.29	Professional		$639.87	$887.95	$1,546.29