Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.64 / $5,087.00 / $8,294.00	Facility		$927.64	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.99 / $923.62 / $1,030.26	Professional		$793.99	$923.62	$1,030.26
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 $774.46 / $990.36 / $1,358.27	Professional		$774.46	$990.36	$1,358.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $907.46 / $1,342.30 / $4,716.00	Professional		$907.46	$1,342.30	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.54 / $1,091.55 / $2,028.28	Professional		$809.54	$1,091.55	$2,028.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.80 / $947.76 / $1,168.90	Professional		$789.80	$947.76	$1,168.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $918.99 / $1,117.42 / $1,604.40	Facility		$918.99	$1,117.42	$1,604.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,031.00 / $1,170.00 / $1,968.98	Professional		$1,031.00	$1,170.00	$1,968.98
Sentara Facility/Professional Facility Modifier Low / Median / High Price $827.91 / $1,093.80 / $3,931.25	Facility		$827.91	$1,093.80	$3,931.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $827.91 / $1,093.80 / $3,931.25	Professional		$827.91	$1,093.80	$3,931.25
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $673.26 / $1,087.53 / $1,689.03	Professional		$673.26	$1,087.53	$1,689.03