Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.24 / $5,087.00 / $8,294.00	Facility		$976.24	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.02 / $895.69 / $1,083.32	Professional		$760.02	$895.69	$1,083.32
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 $793.40 / $1,024.47 / $1,422.42	Professional		$793.40	$1,024.47	$1,422.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $917.37 / $942.30 / $7,369.00	Professional		$917.37	$942.30	$7,369.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $991.33 / $991.33 / $991.33	Facility		$991.33	$991.33	$991.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.57 / $991.89 / $1,746.24	Professional		$820.57	$991.89	$1,746.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $923.01 / $1,022.60 / $1,217.38	Professional		$923.01	$1,022.60	$1,217.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $773.21 / $993.38 / $1,419.50	Facility		$773.21	$993.38	$1,419.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,052.00 / $1,215.00 / $2,051.42	Professional		$1,052.00	$1,215.00	$2,051.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $823.86 / $1,090.71 / $5,502.98	Facility		$823.86	$1,090.71	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $823.86 / $1,090.71 / $5,502.98	Professional		$823.86	$1,090.71	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.96 / $910.54 / $1,565.32	Professional		$647.96	$910.54	$1,565.32