Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.45 / $5,048.00 / $8,294.00	Facility		$864.45	$5,048.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $739.49 / $809.00 / $1,186.95	Professional		$739.49	$809.00	$1,186.95
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 $719.44 / $920.01 / $1,521.05	Professional		$719.44	$920.01	$1,521.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $839.87 / $876.92 / $6,433.00	Professional		$839.87	$876.92	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $877.51	Facility		$640.00	$640.00	$877.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.51 / $1,097.52 / $1,688.85	Professional		$759.51	$1,097.52	$1,688.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.99 / $948.47 / $1,119.60	Professional		$740.99	$948.47	$1,119.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $1,025.45 / $1,581.94	Facility		$809.00	$1,025.45	$1,581.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,102.00 / $1,495.00	Professional		$959.00	$1,102.00	$1,495.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $770.33 / $1,041.75 / $3,356.41	Facility		$770.33	$1,041.75	$3,356.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $770.33 / $1,041.75 / $3,356.41	Professional		$770.33	$1,041.75	$3,356.41
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 $642.10 / $1,012.85 / $1,544.14	Professional		$642.10	$1,012.85	$1,544.14