Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $945.37 / $5,360.00 / $9,975.00	Facility		$945.37	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $582.47 / $742.39 / $1,056.89	Professional		$582.47	$742.39	$1,056.89
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 $668.03 / $858.05 / $1,212.58	Professional		$668.03	$858.05	$1,212.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $793.73 / $1,559.43 / $4,337.00	Professional		$793.73	$1,559.43	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.31 / $829.31 / $829.31	Facility		$829.31	$829.31	$829.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $881.24 / $1,411.13	Professional		$655.00	$881.24	$1,411.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.78 / $811.50 / $1,046.20	Professional		$689.78	$811.50	$1,046.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $673.32 / $902.55 / $1,447.71	Facility		$673.32	$902.55	$1,447.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $877.00 / $1,025.00 / $1,401.25	Professional		$877.00	$1,025.00	$1,401.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $636.21 / $907.96 / $7,420.00	Facility		$636.21	$907.96	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $636.21 / $907.96 / $7,420.00	Professional		$636.21	$907.96	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $533.37 / $713.69 / $1,325.79	Professional		$533.37	$713.69	$1,325.79