Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $835.41 / $5,360.00 / $9,539.00	Facility		$835.41	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.50 / $782.62 / $1,036.17	Professional		$725.50	$782.62	$1,036.17
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 $698.85 / $893.68 / $1,477.52	Professional		$698.85	$893.68	$1,477.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.42 / $893.66 / $4,646.00	Professional		$812.42	$893.66	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $855.48	Facility		$776.00	$776.00	$855.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.33 / $994.20 / $1,623.75	Professional		$739.33	$994.20	$1,623.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.29 / $923.25 / $1,077.92	Professional		$721.29	$923.25	$1,077.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $782.62 / $1,017.42 / $1,515.82	Facility		$782.62	$1,017.42	$1,515.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,004.00 / $1,119.00 / $1,574.20	Professional		$1,004.00	$1,119.00	$1,574.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $726.85 / $978.89 / $3,227.01	Facility		$726.85	$978.89	$3,227.01
Sentara Facility/Professional Professional Modifier Low / Median / High Price $726.85 / $978.89 / $3,227.01	Professional		$726.85	$978.89	$3,227.01
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 $609.29 / $952.01 / $1,478.10	Professional		$609.29	$952.01	$1,478.10