Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.31 / $5,360.00 / $9,975.00	Facility		$1,021.31	$5,360.00	$9,975.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.28 / $879.05 / $1,071.64	Professional		$795.28	$879.05	$1,071.64
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 $768.61 / $982.89 / $1,348.03	Professional		$768.61	$982.89	$1,348.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $901.10 / $1,338.03 / $11,515.00	Professional		$901.10	$1,338.03	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $805.92 / $1,038.88 / $1,966.30	Professional		$805.92	$1,038.88	$1,966.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $786.26 / $943.51 / $1,163.66	Professional		$786.26	$943.51	$1,163.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $879.05 / $1,079.27 / $1,562.14	Facility		$879.05	$1,079.27	$1,562.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $967.00 / $1,095.00 / $1,915.00	Professional		$967.00	$1,095.00	$1,915.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $801.12 / $1,023.71 / $6,585.00	Facility		$801.12	$1,023.71	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $801.12 / $1,023.71 / $6,585.00	Professional		$801.12	$1,023.71	$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 $617.52 / $1,016.12 / $1,747.98	Professional		$617.52	$1,016.12	$1,747.98