Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.08 / $3,116.00 / $7,275.00	Facility		$930.08	$3,116.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.11 / $860.68 / $1,059.50	Professional		$607.11	$860.68	$1,059.50
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 $705.61 / $922.37 / $1,524.95	Professional		$705.61	$922.37	$1,524.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $919.18 / $919.18 / $3,019.00	Professional		$919.18	$919.18	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,243.82	Facility		$572.00	$572.00	$1,243.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.77 / $934.32 / $1,844.95	Professional		$568.77	$934.32	$1,844.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.80 / $1,176.09 / $1,389.93	Professional		$908.80	$1,176.09	$1,389.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $620.72 / $930.08 / $1,519.99	Facility		$620.72	$930.08	$1,519.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $839.00 / $974.00 / $1,732.00	Professional		$839.00	$974.00	$1,732.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $522.83 / $827.11 / $2,039.00	Facility		$522.83	$827.11	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $583.12 / $1,003.71 / $2,182.87	Professional		$583.12	$1,003.71	$2,182.87
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 $525.99 / $877.70 / $1,691.03	Professional		$525.99	$877.70	$1,691.03