Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.09 / $3,633.00 / $8,294.00	Facility		$933.09	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $815.78 / $933.09 / $1,375.01	Professional		$815.78	$933.09	$1,375.01
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 $831.62 / $1,063.46 / $1,758.21	Professional		$831.62	$1,063.46	$1,758.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $973.12 / $1,011.95 / $6,433.00	Professional		$973.12	$1,011.95	$6,433.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $572.00 / $572.00 / $1,014.77	Facility		$572.00	$572.00	$1,014.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.85 / $1,141.67 / $1,960.39	Professional		$877.85	$1,141.67	$1,960.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.44 / $1,096.24 / $1,292.61	Professional		$856.44	$1,096.24	$1,292.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $929.45 / $1,176.49 / $1,707.55	Facility		$929.45	$1,176.49	$1,707.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,108.00 / $1,256.34 / $1,735.00	Professional		$1,108.00	$1,256.34	$1,735.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $859.52 / $1,142.65 / $3,816.00	Facility		$859.52	$1,142.65	$3,816.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $859.52 / $1,142.65 / $3,816.00	Professional		$859.52	$1,142.65	$3,816.00
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 $732.61 / $1,156.83 / $1,806.49	Professional		$732.61	$1,156.83	$1,806.49