Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.48 / $3,633.00 / $8,920.00	Facility		$993.48	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $853.58 / $993.48 / $1,111.33	Professional		$853.58	$993.48	$1,111.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,714.00 / $9,239.00 / $22,034.00	Facility		$6,714.00	$9,239.00	$22,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.19 / $1,024.55 / $1,405.17	Professional		$801.19	$1,024.55	$1,405.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $959.31 / $1,387.84 / $5,895.00	Professional		$959.31	$1,387.84	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.99 / $1,174.10 / $2,177.60	Professional		$881.99	$1,174.10	$2,177.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.27 / $996.32 / $1,228.80	Professional		$830.27	$996.32	$1,228.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $976.95 / $1,219.27 / $1,789.07	Facility		$976.95	$1,219.27	$1,789.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,101.00 / $1,220.00 / $2,037.07	Professional		$1,101.00	$1,220.00	$2,037.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $860.64 / $1,162.06 / $4,134.03	Facility		$860.64	$1,162.06	$4,134.03
Sentara Facility/Professional Professional Modifier Low / Median / High Price $860.64 / $1,162.06 / $4,134.03	Professional		$860.64	$1,162.06	$4,134.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,304.00 / $15,853.00	Facility		$4,349.00	$7,304.00	$15,853.00
United Facility/Professional Professional Modifier Low / Median / High Price $751.47 / $1,139.20 / $1,896.13	Professional		$751.47	$1,139.20	$1,896.13