Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.47 / $4,771.00 / $9,539.00	Facility		$945.47	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $755.51 / $945.47 / $1,899.86	Professional		$755.51	$945.47	$1,899.86
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 $731.40 / $931.19 / $1,297.90	Professional		$731.40	$931.19	$1,297.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $880.61 / $1,085.60 / $2,116.94	Professional		$880.61	$1,085.60	$2,116.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.76 / $1,120.97 / $1,889.59	Professional		$814.76	$1,120.97	$1,889.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.95 / $901.14 / $1,111.41	Professional		$750.95	$901.14	$1,111.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $858.45 / $1,072.58 / $1,551.79	Facility		$858.45	$1,072.58	$1,551.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,059.00 / $1,163.00 / $2,075.00	Professional		$1,059.00	$1,163.00	$2,075.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $866.17 / $1,171.58 / $3,910.09	Facility		$866.17	$1,171.58	$3,910.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $866.17 / $1,171.58 / $3,910.09	Professional		$866.17	$1,171.58	$3,910.09
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 $762.83 / $1,220.82 / $1,803.18	Professional		$762.83	$1,220.82	$1,803.18