Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.56 / $5,328.00 / $9,539.00	Facility		$987.56	$5,328.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $826.81 / $973.27 / $1,358.31	Professional		$826.81	$973.27	$1,358.31
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 $853.44 / $1,091.35 / $1,804.34	Professional		$853.44	$1,091.35	$1,804.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $940.13 / $1,057.26 / $6,433.00	Professional		$940.13	$1,057.26	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $1,035.32	Facility		$776.00	$776.00	$1,035.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.33 / $1,222.21 / $1,990.25	Professional		$886.33	$1,222.21	$1,990.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.37 / $1,127.43 / $1,332.42	Professional		$871.37	$1,127.43	$1,332.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $934.41 / $1,175.20 / $1,781.08	Facility		$934.41	$1,175.20	$1,781.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,055.00 / $1,257.00 / $1,727.00	Professional		$1,055.00	$1,257.00	$1,727.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $886.27 / $1,175.42 / $3,888.90	Facility		$886.27	$1,175.42	$3,888.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $886.27 / $1,175.42 / $3,888.90	Professional		$886.27	$1,175.42	$3,888.90
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 $703.27 / $1,081.95 / $1,701.62	Professional		$703.27	$1,081.95	$1,701.62