Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $972.92 / $5,087.00 / $8,294.00	Facility		$972.92	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.10 / $956.59 / $1,204.61	Professional		$755.10	$956.59	$1,204.61
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 $835.27 / $1,080.75 / $1,786.80	Professional		$835.27	$1,080.75	$1,786.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $943.89 / $1,043.08 / $4,117.00	Professional		$943.89	$1,043.08	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,025.26	Facility		$640.00	$640.00	$1,025.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $871.26 / $1,141.52 / $1,960.76	Professional		$871.26	$1,141.52	$1,960.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $864.01 / $1,114.80 / $1,317.49	Professional		$864.01	$1,114.80	$1,317.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.14 / $1,157.77 / $1,746.94	Facility		$914.14	$1,157.77	$1,746.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,062.00 / $1,226.00 / $1,693.00	Professional		$1,062.00	$1,226.00	$1,693.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $876.76 / $1,123.94 / $3,818.48	Facility		$876.76	$1,123.94	$3,818.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $876.76 / $1,123.94 / $3,818.48	Professional		$876.76	$1,123.94	$3,818.48
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 $675.88 / $1,073.90 / $1,718.24	Professional		$675.88	$1,073.90	$1,718.24