Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.43 / $4,771.00 / $9,539.00	Facility		$926.43	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.25 / $926.43 / $1,131.58	Professional		$784.25	$926.43	$1,131.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $764.18 / $962.85 / $1,371.30	Professional		$764.18	$962.85	$1,371.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $909.48 / $911.30 / $1,777.03	Professional		$909.48	$911.30	$1,777.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $938.15	Facility		$490.00	$610.00	$938.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.86 / $1,086.66 / $1,873.03	Professional		$783.86	$1,086.66	$1,873.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.74 / $942.29 / $1,366.95	Professional		$774.74	$942.29	$1,366.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $863.48 / $1,095.51 / $1,554.68	Facility		$863.48	$1,095.51	$1,554.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $988.00 / $1,140.00 / $1,884.46	Professional		$988.00	$1,140.00	$1,884.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $832.64 / $1,046.03 / $1,864.29	Facility		$832.64	$1,046.03	$1,864.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $832.64 / $1,046.03 / $1,864.29	Professional		$832.64	$1,046.03	$1,864.29
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $2,928.00 / $5,445.00	Facility		$425.00	$2,928.00	$5,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.22 / $1,035.88 / $1,613.55	Professional		$679.22	$1,035.88	$1,613.55