Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.15 / $5,087.00 / $8,920.00	Facility		$935.15	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.08 / $928.71 / $1,891.36	Professional		$800.08	$928.71	$1,891.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.41 / $960.89 / $1,317.86	Professional		$751.41	$960.89	$1,317.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $916.00 / $1,762.41	Professional		$794.00	$916.00	$1,762.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $825.06 / $1,108.89 / $2,036.27	Professional		$825.06	$1,108.89	$2,036.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.80 / $934.56 / $1,152.61	Professional		$778.80	$934.56	$1,152.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $914.72 / $1,139.78 / $1,671.53	Facility		$914.72	$1,139.78	$1,671.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,061.00 / $1,183.00 / $1,910.74	Professional		$1,061.00	$1,183.00	$1,910.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $844.44 / $1,104.33 / $5,122.00	Facility		$844.44	$1,104.33	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $844.44 / $1,104.33 / $5,122.00	Professional		$844.44	$1,104.33	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.26 / $1,128.10 / $1,776.52	Professional		$716.26	$1,128.10	$1,776.52