Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.64 / $3,633.00 / $8,920.00	Facility		$787.64	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.57 / $787.64 / $1,023.34	Professional		$620.57	$787.64	$1,023.34
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 $632.47 / $861.34 / $1,252.78	Professional		$632.47	$861.34	$1,252.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $644.25 / $713.29 / $4,716.00	Professional		$644.25	$713.29	$4,716.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,113.94 / $1,113.94 / $1,113.94	Facility		$1,113.94	$1,113.94	$1,113.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.80 / $890.12 / $1,658.60	Professional		$639.80	$890.12	$1,658.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $890.09 / $990.39 / $1,179.04	Professional		$890.09	$990.39	$1,179.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $606.03 / $869.84 / $1,297.92	Facility		$606.03	$869.84	$1,297.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,016.00 / $1,193.00 / $1,631.00	Professional		$1,016.00	$1,193.00	$1,631.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $854.21 / $5,502.98	Facility		$648.00	$854.21	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $762.85 / $1,077.15 / $5,502.98	Professional		$762.85	$1,077.15	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.84 / $901.71 / $1,574.18	Professional		$644.84	$901.71	$1,574.18