Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.94 / $5,087.00 / $8,294.00	Facility		$973.94	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.65 / $947.73 / $1,207.53	Professional		$793.65	$947.73	$1,207.53
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 $835.76 / $1,082.32 / $1,789.39	Professional		$835.76	$1,082.32	$1,789.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $942.43 / $1,044.57 / $4,117.00	Professional		$942.43	$1,044.57	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,026.75	Facility		$640.00	$640.00	$1,026.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.98 / $1,135.57 / $1,962.81	Professional		$864.98	$1,135.57	$1,962.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.98 / $1,115.97 / $1,318.88	Professional		$864.98	$1,115.97	$1,318.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $907.73 / $1,156.39 / $1,734.35	Facility		$907.73	$1,156.39	$1,734.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,052.00 / $1,225.00 / $1,696.00	Professional		$1,052.00	$1,225.00	$1,696.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $859.79 / $1,124.49 / $3,770.06	Facility		$859.79	$1,124.49	$3,770.06
Sentara Facility/Professional Professional Modifier Low / Median / High Price $859.79 / $1,124.49 / $3,770.06	Professional		$859.79	$1,124.49	$3,770.06
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 $667.31 / $1,041.72 / $1,650.64	Professional		$667.31	$1,041.72	$1,650.64