Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.32 / $5,087.00 / $8,294.00	Facility		$839.32	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.25 / $790.55 / $1,343.93	Professional		$717.25	$790.55	$1,343.93
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 $705.62 / $902.33 / $1,491.82	Professional		$705.62	$902.33	$1,491.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $816.96 / $861.81 / $5,113.00	Professional		$816.96	$861.81	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $861.51	Facility		$640.00	$640.00	$861.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.04 / $1,070.35 / $1,640.99	Professional		$745.04	$1,070.35	$1,640.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.71 / $932.00 / $1,101.45	Professional		$727.71	$932.00	$1,101.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $785.14 / $993.90 / $1,535.96	Facility		$785.14	$993.90	$1,535.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,092.79 / $1,454.00	Professional		$930.00	$1,092.79	$1,454.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $749.54 / $1,006.00 / $3,261.23	Facility		$749.54	$1,006.00	$3,261.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $749.54 / $1,006.00 / $3,261.23	Professional		$749.54	$1,006.00	$3,261.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.75 / $992.90 / $1,461.83	Professional		$615.75	$992.90	$1,461.83