Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.97 / $5,087.00 / $8,294.00	Facility		$903.97	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.40 / $878.93 / $1,111.23	Professional		$692.40	$878.93	$1,111.23
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 $781.48 / $1,001.76 / $1,656.20	Professional		$781.48	$1,001.76	$1,656.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $870.35 / $968.93 / $4,117.00	Professional		$870.35	$968.93	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $950.32	Facility		$640.00	$640.00	$950.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.64 / $1,048.48 / $1,821.80	Professional		$803.64	$1,048.48	$1,821.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.94 / $1,036.58 / $1,225.06	Professional		$801.94	$1,036.58	$1,225.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $840.36 / $1,043.03 / $1,608.44	Facility		$840.36	$1,043.03	$1,608.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $976.00 / $1,121.00 / $1,571.00	Professional		$976.00	$1,121.00	$1,571.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $801.88 / $1,041.14 / $3,518.40	Facility		$801.88	$1,041.14	$3,518.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $801.88 / $1,041.14 / $3,518.40	Professional		$801.88	$1,041.14	$3,518.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,621.00 / $17,187.00	Facility		$5,121.00	$8,621.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $996.47 / $1,533.33	Professional		$633.79	$996.47	$1,533.33