Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.31 / $5,087.00 / $8,294.00	Facility		$938.31	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $764.94 / $915.72 / $1,156.21	Professional		$764.94	$915.72	$1,156.21
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 $803.29 / $1,040.27 / $1,719.87	Professional		$803.29	$1,040.27	$1,719.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $878.13 / $983.51 / $4,117.00	Professional		$878.13	$983.51	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $986.85	Facility		$640.00	$640.00	$986.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.33 / $1,086.69 / $1,891.01	Professional		$838.33	$1,086.69	$1,891.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.90 / $1,075.73 / $1,271.32	Professional		$832.90	$1,075.73	$1,271.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $862.98 / $1,087.33 / $1,675.77	Facility		$862.98	$1,087.33	$1,675.77
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,006.00 / $1,170.00 / $1,631.00	Professional		$1,006.00	$1,170.00	$1,631.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $835.52 / $1,082.77 / $3,512.00	Facility		$835.52	$1,082.77	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $835.52 / $1,082.77 / $3,512.00	Professional		$835.52	$1,082.77	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,870.00 / $12,739.00	Facility		$3,651.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $665.83 / $1,038.29 / $1,599.27	Professional		$665.83	$1,038.29	$1,599.27