Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.60 / $5,412.00 / $19,599.00	Facility		$943.60	$5,412.00	$19,599.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $775.15 / $943.60 / $1,337.05	Professional		$775.15	$943.60	$1,337.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.00 / $962.52 / $1,341.57	Professional		$756.00	$962.52	$1,341.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $922.85 / $966.93 / $1,885.51	Professional		$922.85	$966.93	$1,885.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.54 / $1,118.83 / $1,901.10	Professional		$827.54	$1,118.83	$1,901.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $781.72 / $938.06 / $1,156.95	Professional		$781.72	$938.06	$1,156.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.11 / $1,165.13 / $1,724.90	Facility		$914.11	$1,165.13	$1,724.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.00 / $1,187.90 / $1,918.01	Professional		$1,047.00	$1,187.90	$1,918.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.57 / $1,125.73 / $5,502.98	Facility		$831.57	$1,125.73	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.57 / $1,125.73 / $5,502.98	Professional		$831.57	$1,125.73	$5,502.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.73 / $1,162.82 / $1,831.92	Professional		$739.73	$1,162.82	$1,831.92