Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $852.15 / $5,087.00 / $8,294.00	Facility		$852.15	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.72 / $804.15 / $1,079.61	Professional		$734.72	$804.15	$1,079.61
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 $715.45 / $914.90 / $1,512.60	Professional		$715.45	$914.90	$1,512.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $835.55 / $872.48 / $1,579.19	Professional		$835.55	$872.48	$1,579.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $873.43	Facility		$640.00	$640.00	$873.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.87 / $1,091.34 / $1,676.89	Professional		$757.87	$1,091.34	$1,676.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.62 / $944.15 / $1,114.98	Professional		$737.62	$944.15	$1,114.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $804.15 / $1,038.79 / $1,559.43	Facility		$804.15	$1,038.79	$1,559.43
Medcost Facility/Professional Professional Modifier Low / Median / High Price $947.00 / $1,126.91 / $1,487.00	Professional		$947.00	$1,126.91	$1,487.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $754.62 / $1,038.94 / $3,332.62	Facility		$754.62	$1,038.94	$3,332.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $754.62 / $1,038.94 / $3,332.62	Professional		$754.62	$1,038.94	$3,332.62
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,074.00 / $21,639.00	Facility		$6,423.00	$11,074.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.49 / $1,005.99 / $1,675.80	Professional		$637.49	$1,005.99	$1,675.80