Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.73 / $4,796.00 / $9,918.00	Facility		$946.73	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $799.47 / $946.73 / $1,276.64	Professional		$799.47	$946.73	$1,276.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $10,311.04 / $14,433.40	Facility		$6,385.00	$10,311.04	$14,433.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.78 / $1,005.73 / $1,424.41	Professional		$778.78	$1,005.73	$1,424.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $935.90 / $952.83 / $1,825.00	Professional		$935.90	$952.83	$1,825.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $610.00 / $970.76	Facility		$490.00	$610.00	$970.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.38 / $1,025.58 / $1,823.06	Professional		$707.38	$1,025.58	$1,823.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.96 / $978.31 / $1,386.12	Professional		$791.96	$978.31	$1,386.12
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.93 / $1,075.83 / $1,599.97	Facility		$842.93	$1,075.83	$1,599.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $995.00 / $1,180.42 / $1,970.59	Professional		$995.00	$1,180.42	$1,970.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $807.77 / $1,028.08 / $1,857.45	Facility		$807.77	$1,028.08	$1,857.45
Sentara Facility/Professional Professional Modifier Low / Median / High Price $807.77 / $1,028.08 / $1,857.45	Professional		$807.77	$1,028.08	$1,857.45
United Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $2,397.00 / $5,202.00	Facility		$327.00	$2,397.00	$5,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $644.61 / $954.86 / $1,559.32	Professional		$644.61	$954.86	$1,559.32