Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.00 / $5,087.00 / $8,294.00	Facility		$913.00	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.47 / $907.15 / $1,138.78	Professional		$807.47	$907.15	$1,138.78
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 $733.89 / $938.48 / $1,287.11	Professional		$733.89	$938.48	$1,287.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $916.00 / $1,722.71	Professional		$794.00	$916.00	$1,722.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.41 / $1,077.03 / $1,988.91	Professional		$808.41	$1,077.03	$1,988.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.00 / $913.20 / $1,126.28	Professional		$761.00	$913.20	$1,126.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $907.15 / $1,113.32 / $1,632.84	Facility		$907.15	$1,113.32	$1,632.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,005.00 / $1,155.00 / $1,866.17	Professional		$1,005.00	$1,155.00	$1,866.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $845.18 / $1,078.70 / $5,122.00	Facility		$845.18	$1,078.70	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $845.18 / $1,078.70 / $5,122.00	Professional		$845.18	$1,078.70	$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 $693.47 / $1,109.56 / $1,768.08	Professional		$693.47	$1,109.56	$1,768.08