Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.50 / $5,087.00 / $8,294.00	Facility		$899.50	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $769.21 / $893.46 / $1,110.85	Professional		$769.21	$893.46	$1,110.85
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 $722.83 / $924.34 / $1,267.73	Professional		$722.83	$924.34	$1,267.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $916.00 / $1,697.77	Professional		$794.00	$916.00	$1,697.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.62 / $1,055.90 / $1,959.64	Professional		$793.62	$1,055.90	$1,959.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $749.22 / $899.06 / $1,108.84	Professional		$749.22	$899.06	$1,108.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $880.19 / $1,096.96 / $1,608.53	Facility		$880.19	$1,096.96	$1,608.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,009.00 / $1,113.00 / $1,650.70	Professional		$1,009.00	$1,113.00	$1,650.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $775.14 / $1,045.23 / $3,798.37	Facility		$775.14	$1,045.23	$3,798.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $775.14 / $1,045.23 / $3,798.37	Professional		$775.14	$1,045.23	$3,798.37
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.11 / $1,042.68 / $1,715.64	Professional		$672.11	$1,042.68	$1,715.64