Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.15 / $5,412.00 / $11,425.00	Facility		$1,289.15	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.84 / $975.66 / $1,648.10	Professional		$702.84	$975.66	$1,648.10
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 $887.50 / $1,139.95 / $1,610.97	Professional		$887.50	$1,139.95	$1,610.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $993.22 / $1,936.78 / $4,337.00	Professional		$993.22	$1,936.78	$4,337.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.57 / $1,100.57 / $1,100.57	Facility		$1,100.57	$1,100.57	$1,100.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.45 / $1,114.42 / $1,819.23	Professional		$773.45	$1,114.42	$1,819.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.28 / $1,074.45 / $1,368.13	Professional		$913.28	$1,074.45	$1,368.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $871.33 / $1,098.17 / $1,743.55	Facility		$871.33	$1,098.17	$1,743.55
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,518.00 / $1,693.50 / $3,849.42	Facility	50	$1,518.00	$1,693.50	$3,849.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,183.00 / $1,882.08	Professional		$1,050.00	$1,183.00	$1,882.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $866.82 / $1,134.92 / $7,420.00	Facility		$866.82	$1,134.92	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $866.82 / $1,134.92 / $7,420.00	Professional		$866.82	$1,134.92	$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 $619.89 / $912.95 / $1,467.31	Professional		$619.89	$912.95	$1,467.31