Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,538.00 / $5,360.00 / $9,347.59	Facility		$1,538.00	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.99 / $945.61 / $1,376.37	Professional		$808.99	$945.61	$1,376.37
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 $834.39 / $1,067.00 / $1,764.07	Professional		$834.39	$1,067.00	$1,764.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.75 / $1,023.47 / $4,646.00	Professional		$954.75	$1,023.47	$4,646.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,016.63	Facility		$776.00	$776.00	$1,016.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.65 / $1,183.81 / $1,946.46	Professional		$867.65	$1,183.81	$1,946.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $859.70 / $1,104.39 / $1,305.19	Professional		$859.70	$1,104.39	$1,305.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.29 / $1,178.29 / $1,807.10	Facility		$933.29	$1,178.29	$1,807.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,247.00 / $1,699.00	Professional		$1,101.00	$1,247.00	$1,699.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $864.26 / $1,152.53 / $3,868.55	Facility		$864.26	$1,152.53	$3,868.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $864.26 / $1,152.53 / $3,868.55	Professional		$864.26	$1,152.53	$3,868.55
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 $698.45 / $1,128.96 / $1,726.25	Professional		$698.45	$1,128.96	$1,726.25