Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.52 / $4,771.00 / $9,539.00	Facility		$979.52	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $816.07 / $979.52 / $1,134.42	Professional		$816.07	$979.52	$1,134.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.00 / $4,699.53 / $6,545.49	Facility		$3,289.00	$4,699.53	$6,545.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.48 / $1,045.38 / $1,433.73	Professional		$817.48	$1,045.38	$1,433.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $989.54 / $1,108.28 / $1,929.60	Professional		$989.54	$1,108.28	$1,929.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.90 / $1,153.21 / $2,171.88	Professional		$831.90	$1,153.21	$2,171.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.96 / $988.75 / $1,223.38	Professional		$823.96	$988.75	$1,223.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $915.62 / $1,149.24 / $1,655.39	Facility		$915.62	$1,149.24	$1,655.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,204.00 / $1,991.00	Professional		$1,012.00	$1,204.00	$1,991.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $827.97 / $1,130.30 / $2,168.21	Facility		$827.97	$1,130.30	$2,168.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $827.97 / $1,130.30 / $2,168.21	Professional		$827.97	$1,130.30	$2,168.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.22 / $1,100.75 / $1,883.54	Professional		$707.22	$1,100.75	$1,883.54