Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.02 / $6,146.00 / $14,798.00	Facility		$845.02	$6,146.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.76 / $744.75 / $1,205.58	Professional		$641.76	$744.75	$1,205.58
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 $627.55 / $802.51 / $1,100.64	Professional		$627.55	$802.51	$1,100.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $742.75 / $1,110.35 / $6,694.00	Professional		$742.75	$1,110.35	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.04 / $843.27 / $1,571.41	Professional		$585.04	$843.27	$1,571.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.51 / $763.81 / $942.03	Professional		$636.51	$763.81	$942.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $713.54 / $875.70 / $1,262.84	Facility		$713.54	$875.70	$1,262.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.63 / $880.00 / $1,522.00	Professional		$758.63	$880.00	$1,522.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $609.17 / $832.53 / $6,585.00	Facility		$609.17	$832.53	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $609.17 / $832.53 / $6,585.00	Professional		$609.17	$832.53	$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 $502.52 / $795.64 / $1,389.19	Professional		$502.52	$795.64	$1,389.19