Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,244.00 / $4,796.00 / $8,294.00	Facility		$1,244.00	$4,796.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.50 / $942.96 / $1,035.83	Professional		$803.50	$942.96	$1,035.83
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 $724.98 / $927.09 / $1,532.75	Professional		$724.98	$927.09	$1,532.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $833.76 / $900.46 / $5,113.00	Professional		$833.76	$900.46	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $897.23	Facility		$640.00	$640.00	$897.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.23 / $1,089.33 / $1,787.27	Professional		$785.23	$1,089.33	$1,787.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.00 / $980.48 / $1,134.22	Professional		$766.00	$980.48	$1,134.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $815.55 / $1,169.38 / $1,749.09	Facility		$815.55	$1,169.38	$1,749.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,107.00 / $1,293.00 / $1,819.00	Professional		$1,107.00	$1,293.00	$1,819.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $781.69 / $1,113.32 / $3,605.14	Facility		$781.69	$1,113.32	$3,605.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $781.69 / $1,113.32 / $3,605.14	Professional		$781.69	$1,113.32	$3,605.14
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 $654.36 / $1,063.51 / $1,717.45	Professional		$654.36	$1,063.51	$1,717.45