Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.95 / $4,771.00 / $14,112.00	Facility		$700.95	$4,771.00	$14,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.81 / $871.09 / $1,429.63	Professional		$694.81	$871.09	$1,429.63
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 $741.05 / $934.68 / $1,319.00	Professional		$741.05	$934.68	$1,319.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.33 / $1,833.74 / $3,426.00	Professional		$912.33	$1,833.74	$3,426.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,334.17 / $1,334.17 / $1,334.17	Facility		$1,334.17	$1,334.17	$1,334.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.87 / $1,007.52 / $1,655.78	Professional		$715.87	$1,007.52	$1,655.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.02 / $969.44 / $1,239.91	Professional		$824.02	$969.44	$1,239.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $760.46 / $1,031.88 / $1,607.69	Facility		$760.46	$1,031.88	$1,607.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,031.00 / $1,198.00 / $1,675.31	Professional		$1,031.00	$1,198.00	$1,675.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.02 / $990.22 / $7,420.00	Facility		$741.02	$990.22	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $844.23 / $1,066.72 / $7,420.00	Professional		$844.23	$1,066.72	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $6,870.00 / $12,739.00	Facility		$4,349.00	$6,870.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.55 / $835.53 / $1,411.34	Professional		$617.55	$835.53	$1,411.34