Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.39 / $5,087.00 / $8,294.00	Facility		$907.39	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.33 / $880.33 / $1,115.72	Professional		$738.33	$880.33	$1,115.72
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 $772.33 / $1,006.08 / $1,663.35	Professional		$772.33	$1,006.08	$1,663.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $846.02 / $973.00 / $4,117.00	Professional		$846.02	$973.00	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $954.42	Facility		$640.00	$640.00	$954.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $807.17 / $1,052.79 / $1,828.69	Professional		$807.17	$1,052.79	$1,828.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.09 / $1,040.52 / $1,229.71	Professional		$805.09	$1,040.52	$1,229.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $858.50 / $1,061.65 / $1,611.00	Facility		$858.50	$1,061.65	$1,611.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.00 / $1,130.17 / $1,577.00	Professional		$958.00	$1,130.17	$1,577.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $809.22 / $1,046.61 / $3,533.49	Facility		$809.22	$1,046.61	$3,533.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $809.22 / $1,046.61 / $3,533.49	Professional		$809.22	$1,046.61	$3,533.49
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 $637.24 / $1,059.67 / $1,595.57	Professional		$637.24	$1,059.67	$1,595.57