Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.85 / $5,040.00 / $10,637.11	Facility		$984.85	$5,040.00	$10,637.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $763.94 / $840.52 / $984.85	Professional		$763.94	$840.52	$984.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $723.75 / $925.52 / $1,269.34	Professional		$723.75	$925.52	$1,269.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $850.05 / $1,294.52 / $5,354.00	Professional		$850.05	$1,294.52	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.77 / $993.34 / $1,892.71	Professional		$742.77	$993.34	$1,892.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.23 / $888.28 / $1,095.54	Professional		$740.23	$888.28	$1,095.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $840.52 / $1,031.55 / $1,491.57	Facility		$840.52	$1,031.55	$1,491.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $908.25 / $1,042.00 / $1,805.00	Professional		$908.25	$1,042.00	$1,805.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $723.20 / $977.86 / $3,668.34	Facility		$723.20	$977.86	$3,668.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $723.20 / $977.86 / $3,668.34	Professional		$723.20	$977.86	$3,668.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $628.26 / $995.79 / $1,673.23	Professional		$628.26	$995.79	$1,673.23