Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.85 / $5,087.00 / $8,294.00	Facility		$891.85	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $886.39 / $1,102.17	Professional		$748.41	$886.39	$1,102.17
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 $716.68 / $916.48 / $1,256.95	Professional		$716.68	$916.48	$1,256.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $858.98 / $1,242.32 / $4,716.00	Professional		$858.98	$1,242.32	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.94 / $1,047.55 / $1,944.94	Professional		$786.94	$1,047.55	$1,944.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.89 / $891.47 / $1,099.48	Professional		$742.89	$891.47	$1,099.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $872.98 / $1,087.83 / $1,595.82	Facility		$872.98	$1,087.83	$1,595.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $971.00 / $1,090.00 / $1,822.22	Professional		$971.00	$1,090.00	$1,822.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $806.56 / $1,046.39 / $5,122.00	Facility		$806.56	$1,046.39	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $806.56 / $1,046.39 / $5,122.00	Professional		$806.56	$1,046.39	$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 $678.54 / $1,061.06 / $1,695.53	Professional		$678.54	$1,061.06	$1,695.53