Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.82 / $5,412.00 / $23,601.00	Facility		$912.82	$5,412.00	$23,601.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $785.30 / $884.53 / $1,152.30	Professional		$785.30	$884.53	$1,152.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.17 / $776.55 / $3,241.00	Facility		$509.17	$776.55	$3,241.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.28 / $932.59 / $1,541.85	Professional		$729.28	$932.59	$1,541.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,021.69 / $1,021.69 / $1,930.99	Professional		$1,021.69	$1,021.69	$1,930.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $903.07	Facility		$640.00	$640.00	$903.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.03 / $1,078.78 / $1,757.63	Professional		$792.03	$1,078.78	$1,757.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.04 / $956.21 / $1,115.41	Professional		$747.04	$956.21	$1,115.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $824.50 / $1,087.52 / $1,725.01	Facility		$824.50	$1,087.52	$1,725.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.00 / $1,196.19 / $1,645.00	Professional		$1,047.00	$1,196.19	$1,645.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $791.47 / $1,090.20 / $1,895.27	Facility		$791.47	$1,090.20	$1,895.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $791.47 / $1,090.20 / $1,895.27	Professional		$791.47	$1,090.20	$1,895.27
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $27,201.00	Facility		$7,408.00	$13,296.00	$27,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.99 / $1,050.85 / $1,577.15	Professional		$666.99	$1,050.85	$1,577.15