Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.86 / $4,796.00 / $9,539.00	Facility		$558.86	$4,796.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.83 / $683.08 / $860.90	Professional		$550.83	$683.08	$860.90
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 $425.33 / $543.91 / $745.97	Professional		$425.33	$543.91	$745.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $491.77 / $714.47 / $5,895.00	Professional		$491.77	$714.47	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.71 / $744.03 / $1,289.81	Professional		$513.71	$744.03	$1,289.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.99 / $703.19 / $867.27	Professional		$585.99	$703.19	$867.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $558.86 / $781.25 / $1,164.75	Facility		$558.86	$781.25	$1,164.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $770.44 / $911.00 / $1,281.00	Professional		$770.44	$911.00	$1,281.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $486.27 / $644.28 / $6,585.00	Facility		$486.27	$644.28	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.10 / $817.01 / $6,585.00	Professional		$588.10	$817.01	$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 $509.74 / $798.68 / $1,382.86	Professional		$509.74	$798.68	$1,382.86