Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.82 / $3,226.00 / $8,294.00	Facility		$941.82	$3,226.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.45 / $866.51 / $1,097.99	Professional		$756.45	$866.51	$1,097.99
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 $728.36 / $931.41 / $1,539.90	Professional		$728.36	$931.41	$1,539.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $850.75 / $890.77 / $3,019.00	Professional		$850.75	$890.77	$3,019.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,333.12	Facility		$572.00	$572.00	$1,333.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.60 / $1,039.74 / $1,903.06	Professional		$771.60	$1,039.74	$1,903.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.01 / $1,126.69 / $1,331.54	Professional		$871.01	$1,126.69	$1,331.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $799.00 / $1,063.45 / $1,591.68	Facility		$799.00	$1,063.45	$1,591.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,059.00 / $1,234.00 / $1,723.00	Professional		$1,059.00	$1,234.00	$1,723.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $749.02 / $992.73 / $1,909.69	Facility		$749.02	$992.73	$1,909.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.57 / $1,094.57 / $2,093.56	Professional		$851.57	$1,094.57	$2,093.56
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 $658.32 / $1,050.72 / $1,707.39	Professional		$658.32	$1,050.72	$1,707.39