Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.86 / $5,360.00 / $9,539.00	Facility		$969.86	$5,360.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $788.76 / $937.88 / $1,157.88	Professional		$788.76	$937.88	$1,157.88
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 $757.86 / $969.14 / $1,377.24	Professional		$757.86	$969.14	$1,377.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $803.11 / $892.34 / $1,740.06	Professional		$803.11	$892.34	$1,740.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $605.00 / $988.00 / $3,282.37	Facility		$605.00	$988.00	$3,282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.34 / $1,073.70 / $1,756.10	Professional		$746.34	$1,073.70	$1,756.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.10 / $941.42 / $1,450.75	Professional		$762.10	$941.42	$1,450.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $852.62 / $1,099.31 / $1,705.04	Facility		$852.62	$1,099.31	$1,705.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,189.00 / $1,924.20	Professional		$1,050.00	$1,189.00	$1,924.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $850.84 / $1,067.34 / $1,918.57	Facility		$850.84	$1,067.34	$1,918.57
Sentara Facility/Professional Professional Modifier Low / Median / High Price $850.84 / $1,067.34 / $1,918.57	Professional		$850.84	$1,067.34	$1,918.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,745.00 / $10,439.00 / $21,401.00	Facility		$1,745.00	$10,439.00	$21,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.66 / $1,014.74 / $1,640.50	Professional		$659.66	$1,014.74	$1,640.50