Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,482.64 / $5,360.00 / $9,347.59	Facility		$1,482.64	$5,360.00	$9,347.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $863.14 / $1,102.72	Professional		$732.60	$863.14	$1,102.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,823.00 / $12,004.00 / $15,528.00	Facility		$9,823.00	$12,004.00	$15,528.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $777.53 / $994.29 / $1,643.85	Professional		$777.53	$994.29	$1,643.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $865.83 / $961.92 / $7,889.00	Professional		$865.83	$961.92	$7,889.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $776.00 / $943.23	Facility		$776.00	$776.00	$943.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $798.57 / $1,053.22 / $1,803.11	Professional		$798.57	$1,053.22	$1,803.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.74 / $1,028.65 / $1,215.68	Professional		$795.74	$1,028.65	$1,215.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $833.37 / $1,038.50 / $1,579.55	Facility		$833.37	$1,038.50	$1,579.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $959.00 / $1,119.00 / $1,559.00	Professional		$959.00	$1,119.00	$1,559.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $796.92 / $1,038.97 / $3,455.23	Facility		$796.92	$1,038.97	$3,455.23
Sentara Facility/Professional Professional Modifier Low / Median / High Price $796.92 / $1,038.97 / $3,455.23	Professional		$796.92	$1,038.97	$3,455.23
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 $638.60 / $1,019.35 / $1,582.03	Professional		$638.60	$1,019.35	$1,582.03