Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.46 / $4,771.00 / $9,539.00	Facility		$913.46	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.29 / $913.46 / $1,015.88	Professional		$796.29	$913.46	$1,015.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,385.00 / $9,523.09 / $13,263.73	Facility		$6,385.00	$9,523.09	$13,263.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.34 / $956.96 / $1,312.47	Professional		$748.34	$956.96	$1,312.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $948.38 / $1,084.01 / $1,887.35	Professional		$948.38	$1,084.01	$1,887.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.73 / $1,096.99 / $2,017.80	Professional		$797.73	$1,096.99	$2,017.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.74 / $914.09 / $1,127.38	Professional		$761.74	$914.09	$1,127.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $913.46 / $1,126.33 / $1,622.34	Facility		$913.46	$1,126.33	$1,622.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,021.00 / $1,150.13 / $1,872.74	Professional		$1,021.00	$1,150.13	$1,872.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $840.83 / $1,087.80 / $2,070.00	Facility		$840.83	$1,087.80	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $840.83 / $1,087.80 / $2,070.00	Professional		$840.83	$1,087.80	$2,070.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.78 / $1,134.18 / $1,783.83	Professional		$669.78	$1,134.18	$1,783.83