Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.00 / $5,360.00 / $9,975.00	Facility		$915.00	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $781.45 / $908.70 / $1,128.71	Professional		$781.45	$908.70	$1,128.71
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 $734.81 / $939.66 / $1,288.74	Professional		$734.81	$939.66	$1,288.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $916.00 / $1,725.71	Professional		$794.00	$916.00	$1,725.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.78 / $1,073.91 / $1,992.37	Professional		$797.78	$1,073.91	$1,992.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.29 / $914.75 / $1,128.19	Professional		$762.29	$914.75	$1,128.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $865.50 / $1,112.99 / $1,589.24	Facility		$865.50	$1,112.99	$1,589.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,011.94 / $1,157.00 / $1,868.57	Professional		$1,011.94	$1,157.00	$1,868.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $788.17 / $1,059.64 / $3,861.80	Facility		$788.17	$1,059.64	$3,861.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $788.17 / $1,059.64 / $3,861.80	Professional		$788.17	$1,059.64	$3,861.80
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 $667.80 / $1,037.58 / $1,738.14	Professional		$667.80	$1,037.58	$1,738.14