Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.32 / $5,412.00 / $11,425.00	Facility		$965.32	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.60 / $902.72 / $1,322.74	Professional		$759.60	$902.72	$1,322.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,142.00 / $37,782.72 / $52,623.67	Facility		$7,142.00	$37,782.72	$52,623.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.81 / $1,025.33 / $1,695.19	Professional		$801.81	$1,025.33	$1,695.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $981.43 / $1,029.02 / $17,559.00	Professional		$981.43	$1,029.02	$17,559.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $978.32	Facility		$640.00	$640.00	$978.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.28 / $1,096.20 / $1,879.50	Professional		$828.28	$1,096.20	$1,879.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.15 / $1,057.47 / $1,248.56	Professional		$826.15	$1,057.47	$1,248.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $892.83 / $1,129.13 / $1,651.98	Facility		$892.83	$1,129.13	$1,651.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,014.00 / $1,191.00 / $1,660.00	Professional		$1,014.00	$1,191.00	$1,660.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $829.20 / $1,078.32 / $3,735.47	Facility		$829.20	$1,078.32	$3,735.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $829.20 / $1,078.32 / $3,735.47	Professional		$829.20	$1,078.32	$3,735.47
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $26,537.00	Facility		$7,408.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.17 / $1,045.07 / $1,681.27	Professional		$661.17	$1,045.07	$1,681.27