Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.89 / $5,087.00 / $8,294.00	Facility		$844.89	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.72 / $813.79 / $1,035.76	Professional		$682.72	$813.79	$1,035.76
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 $715.53 / $935.34 / $1,546.39	Professional		$715.53	$935.34	$1,546.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $807.60 / $905.84 / $15,406.00	Professional		$807.60	$905.84	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $887.31	Facility		$640.00	$640.00	$887.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.80 / $978.08 / $1,702.73	Professional		$749.80	$978.08	$1,702.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $747.10 / $966.45 / $1,142.17	Professional		$747.10	$966.45	$1,142.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $756.43 / $954.73 / $1,489.24	Facility		$756.43	$954.73	$1,489.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $1,044.73 / $1,467.00	Professional		$901.00	$1,044.73	$1,467.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $747.03 / $971.24 / $3,270.81	Facility		$747.03	$971.24	$3,270.81
Sentara Facility/Professional Professional Modifier Low / Median / High Price $747.03 / $971.24 / $3,270.81	Professional		$747.03	$971.24	$3,270.81
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 $590.73 / $929.14 / $1,467.00	Professional		$590.73	$929.14	$1,467.00