Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.49 / $5,980.00 / $14,798.00	Facility		$945.49	$5,980.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $773.60 / $880.42 / $1,181.51	Professional		$773.60	$880.42	$1,181.51
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 $779.53 / $997.04 / $1,648.40	Professional		$779.53	$997.04	$1,648.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $917.13 / $949.69 / $3,019.00	Professional		$917.13	$949.69	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $950.80 / $950.80 / $1,200.00	Facility		$950.80	$950.80	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $822.03 / $1,067.95 / $1,854.71	Professional		$822.03	$1,067.95	$1,854.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.54 / $1,029.81 / $1,212.25	Professional		$804.54	$1,029.81	$1,212.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $867.21 / $1,113.02 / $1,730.25	Facility		$867.21	$1,113.02	$1,730.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.00 / $1,179.00 / $1,652.00	Professional		$1,047.00	$1,179.00	$1,652.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $807.98 / $1,061.70 / $3,686.16	Facility		$807.98	$1,061.70	$3,686.16
Sentara Facility/Professional Professional Modifier Low / Median / High Price $807.98 / $1,061.70 / $3,686.16	Professional		$807.98	$1,061.70	$3,686.16
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 $652.46 / $987.22 / $1,624.47	Professional		$652.46	$987.22	$1,624.47