Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.85 / $5,091.00 / $8,920.00	Facility		$997.85	$5,091.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.71 / $911.46 / $1,126.42	Professional		$773.71	$911.46	$1,126.42
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 $807.53 / $1,047.99 / $1,447.75	Professional		$807.53	$1,047.99	$1,447.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $935.49 / $958.83 / $13,882.00	Professional		$935.49	$958.83	$13,882.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,009.94 / $1,009.94 / $1,009.94	Facility		$1,009.94	$1,009.94	$1,009.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.47 / $1,002.38 / $1,777.40	Professional		$808.47	$1,002.38	$1,777.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $940.12 / $1,041.54 / $1,239.93	Professional		$940.12	$1,041.54	$1,239.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $784.19 / $1,011.78 / $1,419.50	Facility		$784.19	$1,011.78	$1,419.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,043.00 / $1,239.00 / $2,088.02	Professional		$1,043.00	$1,239.00	$2,088.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $827.07 / $1,097.48 / $5,502.98	Facility		$827.07	$1,097.48	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $827.07 / $1,097.48 / $5,502.98	Professional		$827.07	$1,097.48	$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 $638.90 / $928.59 / $1,644.74	Professional		$638.90	$928.59	$1,644.74