Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.28 / $5,412.00 / $13,209.00	Facility		$645.28	$5,412.00	$13,209.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.28 / $733.41 / $1,139.71	Professional		$645.28	$733.41	$1,139.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.58 / $909.55 / $1,270.34	Professional		$708.58	$909.55	$1,270.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $841.06 / $1,640.07 / $6,694.00	Professional		$841.06	$1,640.07	$6,694.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,002.96 / $1,002.96 / $1,002.96	Facility		$1,002.96	$1,002.96	$1,002.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.49 / $1,067.83 / $1,682.87	Professional		$757.49	$1,067.83	$1,682.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.47 / $975.84 / $1,241.50	Professional		$829.47	$975.84	$1,241.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.28 / $1,139.71 / $1,572.80	Facility		$645.28	$1,139.71	$1,572.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,216.00 / $1,471.00 / $2,074.34	Professional		$1,216.00	$1,471.00	$2,074.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $838.86 / $1,829.96 / $13,746.00	Facility		$838.86	$1,829.96	$13,746.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $838.86 / $1,829.96 / $13,746.00	Professional		$838.86	$1,829.96	$13,746.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $614.91 / $798.42 / $1,379.18	Professional		$614.91	$798.42	$1,379.18