Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.15 / $5,360.00 / $9,975.00	Facility		$989.15	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.50 / $922.51 / $1,101.60	Professional		$777.50	$922.51	$1,101.60
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 $813.84 / $1,056.19 / $1,459.07	Professional		$813.84	$1,056.19	$1,459.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $962.41 / $1,017.80 / $9,211.00	Professional		$962.41	$1,017.80	$9,211.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,014.77 / $1,014.77 / $1,014.77	Facility		$1,014.77	$1,014.77	$1,014.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.40 / $979.53 / $1,793.65	Professional		$811.40	$979.53	$1,793.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $945.19 / $1,049.58 / $1,249.51	Professional		$945.19	$1,049.58	$1,249.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $789.14 / $1,003.78 / $1,403.68	Facility		$789.14	$1,003.78	$1,403.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,187.00 / $2,105.52	Professional		$1,040.00	$1,187.00	$2,105.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $824.57 / $1,081.63 / $5,502.98	Facility		$824.57	$1,081.63	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $824.57 / $1,081.63 / $5,502.98	Professional		$824.57	$1,081.63	$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 $655.79 / $904.98 / $1,605.41	Professional		$655.79	$904.98	$1,605.41