Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $942.29 / $4,771.00 / $9,539.00	Facility		$942.29	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.18 / $852.85 / $942.29	Professional		$759.18	$852.85	$942.29
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 $797.51 / $1,019.84 / $1,398.71	Professional		$797.51	$1,019.84	$1,398.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $1,028.15 / $2,004.89	Professional		$794.00	$1,028.15	$2,004.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $821.40 / $1,089.30 / $2,107.76	Professional		$821.40	$1,089.30	$2,107.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.37 / $961.64 / $1,186.03	Professional		$801.37	$961.64	$1,186.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $852.85 / $1,127.08 / $1,573.92	Facility		$852.85	$1,127.08	$1,573.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $1,181.00 / $1,941.00	Professional		$982.00	$1,181.00	$1,941.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $816.33 / $1,120.48 / $4,071.00	Facility		$816.33	$1,120.48	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $816.33 / $1,120.48 / $4,071.00	Professional		$816.33	$1,120.48	$4,071.00
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 $699.64 / $1,071.81 / $1,822.05	Professional		$699.64	$1,071.81	$1,822.05