Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.46 / $5,412.00 / $11,425.00	Facility		$946.46	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.41 / $904.12 / $1,072.58	Professional		$721.41	$904.12	$1,072.58
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 $798.42 / $1,021.01 / $1,400.31	Professional		$798.42	$1,021.01	$1,400.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $960.08 / $1,867.63	Professional		$794.00	$960.08	$1,867.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $834.25 / $1,119.04 / $2,145.98	Professional		$834.25	$1,119.04	$2,145.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.07 / $978.08 / $1,206.30	Professional		$815.07	$978.08	$1,206.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.35 / $1,143.59 / $1,649.50	Facility		$812.35	$1,143.59	$1,649.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,194.00 / $2,018.02	Professional		$1,075.00	$1,194.00	$2,018.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $860.69 / $1,125.45 / $4,073.97	Facility		$860.69	$1,125.45	$4,073.97
Sentara Facility/Professional Professional Modifier Low / Median / High Price $860.69 / $1,125.45 / $4,073.97	Professional		$860.69	$1,125.45	$4,073.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,145.00 / $13,521.00	Facility		$3,651.00	$6,145.00	$13,521.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.73 / $1,161.08 / $1,885.06	Professional		$669.73	$1,161.08	$1,885.06