Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.43 / $5,087.00 / $8,920.00	Facility		$982.43	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.54 / $950.38 / $1,228.32	Professional		$824.54	$950.38	$1,228.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.65 / $1,070.14 / $1,769.26	Professional		$818.65	$1,070.14	$1,769.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $801.98 / $801.98 / $4,039.00	Professional		$801.98	$801.98	$4,039.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,021.10	Facility		$640.00	$640.00	$1,021.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.76 / $1,055.47 / $1,909.30	Professional		$740.76	$1,055.47	$1,909.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.56 / $1,112.38 / $1,314.63	Professional		$859.56	$1,112.38	$1,314.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $835.07 / $1,072.65 / $1,639.29	Facility		$835.07	$1,072.65	$1,639.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $997.00 / $1,161.00 / $1,685.00	Professional		$997.00	$1,161.00	$1,685.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.81 / $1,082.58 / $3,756.92	Facility		$724.81	$1,082.58	$3,756.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.81 / $1,082.58 / $3,756.92	Professional		$724.81	$1,082.58	$3,756.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.66 / $966.45 / $1,637.68	Professional		$620.66	$966.45	$1,637.68