Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.72 / $5,360.00 / $9,975.00	Facility		$861.72	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.28 / $729.02 / $883.74	Professional		$663.28	$729.02	$883.74
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 $644.76 / $824.51 / $1,130.81	Professional		$644.76	$824.51	$1,130.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $759.07 / $1,129.94 / $9,211.00	Professional		$759.07	$1,129.94	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.73 / $861.57 / $1,635.84	Professional		$639.73	$861.57	$1,635.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.92 / $789.50 / $973.72	Professional		$657.92	$789.50	$973.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $729.02 / $894.70 / $1,293.47	Facility		$729.02	$894.70	$1,293.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.06 / $903.00 / $1,574.00	Professional		$794.06	$903.00	$1,574.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $652.79 / $852.63 / $6,585.00	Facility		$652.79	$852.63	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $652.79 / $852.63 / $6,585.00	Professional		$652.79	$852.63	$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 $516.26 / $824.17 / $1,446.14	Professional		$516.26	$824.17	$1,446.14