Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.38 / $4,771.00 / $9,539.00	Facility		$933.38	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.50 / $933.38 / $1,166.67	Professional		$798.50	$933.38	$1,166.67
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 $780.91 / $998.61 / $1,422.23	Professional		$780.91	$998.61	$1,422.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $842.48 / $936.09 / $1,825.38	Professional		$842.48	$936.09	$1,825.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $948.57 / $3,282.37	Facility		$490.00	$948.57	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.88 / $1,103.08 / $1,828.92	Professional		$720.88	$1,103.08	$1,828.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.03 / $985.80 / $1,504.47	Professional		$798.03	$985.80	$1,504.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $854.00 / $1,116.61 / $1,711.97	Facility		$854.00	$1,116.61	$1,711.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.00 / $1,218.00 / $1,985.23	Professional		$1,071.00	$1,218.00	$1,985.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $844.31 / $1,101.82 / $1,962.09	Facility		$844.31	$1,101.82	$1,962.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $844.31 / $1,101.82 / $1,962.09	Professional		$844.31	$1,101.82	$1,962.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,898.00 / $21,538.00	Facility		$1,745.00	$10,898.00	$21,538.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.84 / $1,085.00 / $1,625.66	Professional		$675.84	$1,085.00	$1,625.66