Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.62 / $3,991.00 / $8,920.00	Facility		$741.62	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.65 / $741.62 / $928.73	Professional		$614.65	$741.62	$928.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.89 / $786.79 / $1,112.20	Professional		$601.89	$786.79	$1,112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.59 / $748.70 / $2,788.18	Professional		$724.59	$748.70	$2,788.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $925.00 / $4,160.29	Facility		$490.00	$925.00	$4,160.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.26 / $806.84 / $1,449.18	Professional		$585.26	$806.84	$1,449.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $778.24 / $1,109.77	Professional		$633.79	$778.24	$1,109.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $678.75 / $847.52 / $1,253.33	Facility		$678.75	$847.52	$1,253.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $755.00 / $911.00 / $1,565.02	Professional		$755.00	$911.00	$1,565.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $633.80 / $808.53 / $1,562.27	Facility		$633.80	$808.53	$1,562.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $633.80 / $808.53 / $1,562.27	Professional		$633.80	$808.53	$1,562.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,182.00 / $9,588.00 / $21,401.00	Facility		$2,182.00	$9,588.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.60 / $771.94 / $1,294.18	Professional		$512.60	$771.94	$1,294.18