Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $5,087.00 / $8,294.00	Facility		$964.00	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.02 / $901.63 / $1,216.61	Professional		$800.02	$901.63	$1,216.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.12 / $1,025.73 / $1,695.83	Professional		$802.12	$1,025.73	$1,695.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $953.63 / $984.73 / $4,117.00	Professional		$953.63	$984.73	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $978.70	Facility		$640.00	$640.00	$978.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.86 / $1,121.78 / $1,889.22	Professional		$846.86	$1,121.78	$1,889.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.20 / $1,057.54 / $1,247.25	Professional		$826.20	$1,057.54	$1,247.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $880.20 / $1,127.88 / $1,636.09	Facility		$880.20	$1,127.88	$1,636.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,215.67 / $1,673.00	Professional		$1,044.00	$1,215.67	$1,673.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $829.24 / $1,090.66 / $3,754.76	Facility		$829.24	$1,090.66	$3,754.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $829.24 / $1,090.66 / $3,754.76	Professional		$829.24	$1,090.66	$3,754.76
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 $686.88 / $1,107.65 / $1,741.52	Professional		$686.88	$1,107.65	$1,741.52