Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.15 / $3,633.00 / $8,294.00	Facility		$237.15	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.93 / $696.39 / $997.41	Professional		$201.93	$696.39	$997.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $620.11 / $1,144.95	Professional		$202.43	$620.11	$1,144.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $213.09 / $436.83	Professional		$212.17	$213.09	$436.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.15 / $642.79 / $835.64	Facility		$348.15	$642.79	$835.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.30 / $517.82 / $1,546.28	Professional		$218.30	$517.82	$1,546.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.19 / $867.00 / $1,535.98	Professional		$687.19	$867.00	$1,535.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $233.63 / $847.80 / $1,599.55	Facility		$233.63	$847.80	$1,599.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,104.40 / $1,286.00 / $1,797.00	Professional		$1,104.40	$1,286.00	$1,797.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $219.57 / $278.23 / $499.27	Facility		$219.57	$278.23	$499.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $943.87 / $1,226.96 / $2,039.00	Professional		$943.87	$1,226.96	$2,039.00
United Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $2,521.00 / $5,226.00	Facility		$490.00	$2,521.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.43 / $1,213.83 / $1,811.54	Professional		$728.43	$1,213.83	$1,811.54