Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.74 / $3,116.00 / $7,275.00	Facility		$826.74	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.23 / $826.74 / $1,074.73	Professional		$681.23	$826.74	$1,074.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $611.27 / $781.68 / $1,292.34	Professional		$611.27	$781.68	$1,292.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.41 / $827.57 / $6,433.00	Professional		$741.41	$827.57	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,134.27	Facility		$572.00	$572.00	$1,134.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.96 / $1,013.53 / $1,717.62	Professional		$695.96	$1,013.53	$1,717.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $770.72 / $986.52 / $1,159.00	Professional		$770.72	$986.52	$1,159.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $751.66 / $1,048.71 / $1,588.75	Facility		$751.66	$1,048.71	$1,588.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,090.32 / $1,264.00 / $1,558.08	Professional		$1,090.32	$1,264.00	$1,558.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $668.31 / $946.11 / $2,957.32	Facility		$668.31	$946.11	$2,957.32
Sentara Facility/Professional Professional Modifier Low / Median / High Price $790.09 / $1,102.14 / $3,511.10	Professional		$790.09	$1,102.14	$3,511.10
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.86 / $1,091.86 / $1,710.31	Professional		$676.86	$1,091.86	$1,710.31