Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.81 / $5,087.00 / $8,294.00	Facility		$932.81	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.09 / $907.70 / $1,149.03	Professional		$763.09	$907.70	$1,149.03
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 $808.10 / $1,034.38 / $1,710.14	Professional		$808.10	$1,034.38	$1,710.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $889.29 / $996.00 / $4,117.00	Professional		$889.29	$996.00	$4,117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $981.27	Facility		$640.00	$640.00	$981.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.33 / $1,104.17 / $1,879.93	Professional		$835.33	$1,104.17	$1,879.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $828.14 / $1,069.81 / $1,264.32	Professional		$828.14	$1,069.81	$1,264.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.91 / $1,078.27 / $1,661.09	Facility		$870.91	$1,078.27	$1,661.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $958.00 / $1,168.00 / $1,621.00	Professional		$958.00	$1,168.00	$1,621.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $835.73 / $1,082.08 / $3,644.95	Facility		$835.73	$1,082.08	$3,644.95
Sentara Facility/Professional Professional Modifier Low / Median / High Price $835.73 / $1,082.08 / $3,644.95	Professional		$835.73	$1,082.08	$3,644.95
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 $667.00 / $1,018.88 / $1,665.92	Professional		$667.00	$1,018.88	$1,665.92