Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.58 / $5,087.00 / $8,920.00	Facility		$965.58	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.47 / $917.58 / $1,311.70	Professional		$765.47	$917.58	$1,311.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $811.58 / $1,050.09 / $1,736.13	Professional		$811.58	$1,050.09	$1,736.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $964.84 / $1,033.09 / $4,646.00	Professional		$964.84	$1,033.09	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,017.00 / $1,700.00	Facility		$1,017.00	$1,017.00	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.86 / $1,061.01 / $1,902.67	Professional		$827.86	$1,061.01	$1,902.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.49 / $1,103.22 / $1,303.81	Professional		$852.49	$1,103.22	$1,303.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $845.72 / $1,097.25 / $1,631.36	Facility		$845.72	$1,097.25	$1,631.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,034.00 / $1,210.00 / $1,684.00	Professional		$1,034.00	$1,210.00	$1,684.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $841.90 / $1,093.84 / $3,781.51	Facility		$841.90	$1,093.84	$3,781.51
Sentara Facility/Professional Professional Modifier Low / Median / High Price $841.90 / $1,093.84 / $3,781.51	Professional		$841.90	$1,093.84	$3,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.64 / $991.45 / $1,647.96	Professional		$653.64	$991.45	$1,647.96