Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.83 / $5,087.00 / $8,294.00	Facility		$869.83	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.57 / $824.39 / $1,108.95	Professional		$737.57	$824.39	$1,108.95
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 $732.47 / $937.70 / $1,550.29	Professional		$732.47	$937.70	$1,550.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $781.96 / $893.49 / $9,951.00	Professional		$781.96	$893.49	$9,951.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $895.74	Facility		$640.00	$640.00	$895.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.79 / $1,002.22 / $1,723.78	Professional		$773.79	$1,002.22	$1,723.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.22 / $967.96 / $1,142.57	Professional		$756.22	$967.96	$1,142.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $811.73 / $1,039.56 / $1,568.77	Facility		$811.73	$1,039.56	$1,568.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $968.00 / $1,102.61 / $1,526.00	Professional		$968.00	$1,102.61	$1,526.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $758.30 / $1,003.56 / $3,425.85	Facility		$758.30	$1,003.56	$3,425.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $758.30 / $1,003.56 / $3,425.85	Professional		$758.30	$1,003.56	$3,425.85
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 $627.51 / $976.99 / $1,518.20	Professional		$627.51	$976.99	$1,518.20