Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.71 / $5,087.00 / $8,294.00	Facility		$973.71	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.85 / $866.46 / $1,063.81	Professional		$708.85	$866.46	$1,063.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.90 / $842.59 / $1,155.60	Professional		$658.90	$842.59	$1,155.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $774.22 / $1,271.88 / $4,284.00	Professional		$774.22	$1,271.88	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.45 / $1,014.68 / $1,901.59	Professional		$704.45	$1,014.68	$1,901.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.23 / $805.48 / $993.42	Professional		$671.23	$805.48	$993.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $866.46 / $1,063.22 / $1,540.28	Facility		$866.46	$1,063.22	$1,540.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $948.00 / $1,079.00 / $1,675.54	Professional		$948.00	$1,079.00	$1,675.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $757.67 / $1,005.04 / $3,685.64	Facility		$757.67	$1,005.04	$3,685.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $757.67 / $1,005.04 / $3,685.64	Professional		$757.67	$1,005.04	$3,685.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $631.21 / $1,017.97 / $1,681.09	Professional		$631.21	$1,017.97	$1,681.09