Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.29 / $3,633.00 / $8,294.00	Facility		$806.29	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $675.79 / $806.29 / $965.76	Professional		$675.79	$806.29	$965.76
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 $684.51 / $909.75 / $1,284.22	Professional		$684.51	$909.75	$1,284.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.85 / $770.98 / $3,426.00	Professional		$741.85	$770.98	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.08 / $1,212.08 / $1,212.08	Facility		$1,212.08	$1,212.08	$1,212.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.14 / $910.29 / $1,634.38	Professional		$694.14	$910.29	$1,634.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.02 / $1,019.94 / $1,214.21	Professional		$913.02	$1,019.94	$1,214.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $673.23 / $914.89 / $1,270.33	Facility		$673.23	$914.89	$1,270.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,035.00 / $1,123.00 / $1,677.38	Professional		$1,035.00	$1,123.00	$1,677.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $687.53 / $915.49 / $3,398.99	Facility		$687.53	$915.49	$3,398.99
Sentara Facility/Professional Professional Modifier Low / Median / High Price $747.02 / $1,047.61 / $3,440.00	Professional		$747.02	$1,047.61	$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 $621.82 / $888.31 / $1,545.66	Professional		$621.82	$888.31	$1,545.66