Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.98 / $5,087.00 / $8,294.00	Facility		$996.98	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.57 / $976.90 / $1,229.52	Professional		$812.57	$976.90	$1,229.52
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 $851.64 / $1,107.47 / $1,830.98	Professional		$851.64	$1,107.47	$1,830.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $962.83 / $1,068.74 / $4,117.00	Professional		$962.83	$1,068.74	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,050.59	Facility		$640.00	$640.00	$1,050.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.90 / $1,161.47 / $2,009.26	Professional		$892.90	$1,161.47	$2,009.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $886.11 / $1,144.08 / $1,352.09	Professional		$886.11	$1,144.08	$1,352.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $933.87 / $1,166.47 / $1,787.73	Facility		$933.87	$1,166.47	$1,787.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,245.72 / $1,736.00	Professional		$1,083.00	$1,245.72	$1,736.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.42 / $1,145.04 / $3,903.23	Facility		$891.42	$1,145.04	$3,903.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.42 / $1,145.04 / $3,903.23	Professional		$891.42	$1,145.04	$3,903.23
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 $706.87 / $1,167.77 / $1,848.79	Professional		$706.87	$1,167.77	$1,848.79