Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.59 / $3,226.00 / $8,920.00	Facility		$768.59	$3,226.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.40 / $799.80 / $975.10	Professional		$693.40	$799.80	$975.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $837.88 / $1,385.26	Professional		$647.00	$837.88	$1,385.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $711.90 / $711.90 / $5,113.00	Professional		$711.90	$711.90	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $1,151.71	Facility		$420.00	$420.00	$1,151.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.11 / $938.68 / $1,728.99	Professional		$656.11	$938.68	$1,728.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.08 / $1,053.51 / $1,245.06	Professional		$814.08	$1,053.51	$1,245.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.57 / $946.42 / $1,453.42	Facility		$672.57	$946.42	$1,453.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $955.00 / $1,112.00 / $1,615.00	Professional		$955.00	$1,112.00	$1,615.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $570.97 / $882.40 / $1,847.30	Facility		$570.97	$882.40	$1,847.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $664.97 / $1,055.13 / $2,052.00	Professional		$664.97	$1,055.13	$2,052.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,819.00 / $5,764.00	Facility		$1,629.00	$2,819.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.17 / $928.35 / $1,567.93	Professional		$583.17	$928.35	$1,567.93