Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.78 / $5,293.00 / $14,112.00	Facility		$984.78	$5,293.00	$14,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.69 / $918.93 / $1,238.65	Professional		$795.69	$918.93	$1,238.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.79 / $1,045.77 / $1,728.97	Professional		$817.79	$1,045.77	$1,728.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $996.61 / $1,034.15 / $15,406.00	Professional		$996.61	$1,034.15	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $998.04 / $998.04 / $1,700.00	Facility		$998.04	$998.04	$1,700.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $838.43 / $1,094.33 / $1,921.26	Professional		$838.43	$1,094.33	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.77 / $1,078.75 / $1,273.19	Professional		$842.77	$1,078.75	$1,273.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.07 / $1,137.32 / $1,615.15	Facility		$914.07	$1,137.32	$1,615.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,091.00 / $1,239.30 / $1,705.00	Professional		$1,091.00	$1,239.30	$1,705.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $842.77 / $1,095.59 / $3,818.48	Facility		$842.77	$1,095.59	$3,818.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $842.77 / $1,095.59 / $3,818.48	Professional		$842.77	$1,095.59	$3,818.48
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 $661.41 / $1,031.16 / $1,685.42	Professional		$661.41	$1,031.16	$1,685.42