Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.66 / $5,282.00 / $10,767.00	Facility		$916.66	$5,282.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $706.68 / $776.77 / $943.09	Professional		$706.68	$776.77	$943.09
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 $687.18 / $878.75 / $1,205.20	Professional		$687.18	$878.75	$1,205.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $808.16 / $1,199.95 / $7,369.00	Professional		$808.16	$1,199.95	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.78 / $918.00 / $1,742.56	Professional		$665.78	$918.00	$1,742.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.06 / $842.47 / $1,039.05	Professional		$702.06	$842.47	$1,039.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.77 / $953.30 / $1,378.60	Facility		$776.77	$953.30	$1,378.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $968.00 / $1,690.00	Professional		$852.00	$968.00	$1,690.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $670.40 / $920.64 / $6,585.00	Facility		$670.40	$920.64	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $670.40 / $920.64 / $6,585.00	Professional		$670.40	$920.64	$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 $578.41 / $912.53 / $1,451.10	Professional		$578.41	$912.53	$1,451.10