Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.14 / $5,087.00 / $8,294.00	Facility		$944.14	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.26 / $921.99 / $1,163.84	Professional		$776.26	$921.99	$1,163.84
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 $809.33 / $1,047.34 / $1,731.58	Professional		$809.33	$1,047.34	$1,731.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $883.75 / $989.80 / $5,113.00	Professional		$883.75	$989.80	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $993.56	Facility		$640.00	$640.00	$993.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $844.72 / $1,108.41 / $1,902.75	Professional		$844.72	$1,108.41	$1,902.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.97 / $1,082.03 / $1,278.76	Professional		$837.97	$1,082.03	$1,278.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $882.49 / $1,104.64 / $1,687.24	Facility		$882.49	$1,104.64	$1,687.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,182.00 / $1,642.00	Professional		$1,012.00	$1,182.00	$1,642.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $844.11 / $1,089.36 / $3,693.20	Facility		$844.11	$1,089.36	$3,693.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $844.11 / $1,089.36 / $3,693.20	Professional		$844.11	$1,089.36	$3,693.20
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 $665.33 / $1,089.53 / $1,663.00	Professional		$665.33	$1,089.53	$1,663.00