Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.54 / $3,645.00 / $8,294.00	Facility		$810.54	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.26 / $687.58 / $810.54	Professional		$568.26	$687.58	$810.54
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 $608.80 / $778.53 / $1,067.75	Professional		$608.80	$778.53	$1,067.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $714.75 / $1,059.88 / $5,895.00	Professional		$714.75	$1,059.88	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.55 / $812.60 / $1,546.15	Professional		$607.55	$812.60	$1,546.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.12 / $742.94 / $916.30	Professional		$619.12	$742.94	$916.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $687.58 / $843.84 / $1,227.03	Facility		$687.58	$843.84	$1,227.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $747.00 / $846.00 / $1,483.00	Professional		$747.00	$846.00	$1,483.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $599.23 / $817.61 / $6,585.00	Facility		$599.23	$817.61	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $599.23 / $817.61 / $6,585.00	Professional		$599.23	$817.61	$6,585.00
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 $513.22 / $876.45 / $1,353.63	Professional		$513.22	$876.45	$1,353.63