Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.74 / $4,771.00 / $9,539.00	Facility		$894.74	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.52 / $894.74 / $995.75	Professional		$776.52	$894.74	$995.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $734.20 / $938.88 / $1,287.67	Professional		$734.20	$938.88	$1,287.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $931.05 / $1,062.07 / $1,849.15	Professional		$931.05	$1,062.07	$1,849.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.12 / $1,062.97 / $2,010.25	Professional		$784.12	$1,062.97	$2,010.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.26 / $897.91 / $1,107.42	Professional		$748.26	$897.91	$1,107.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $894.74 / $1,091.33 / $1,574.46	Facility		$894.74	$1,091.33	$1,574.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $996.00 / $1,134.00 / $1,837.90	Professional		$996.00	$1,134.00	$1,837.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $811.20 / $1,046.83 / $2,070.00	Facility		$811.20	$1,046.83	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $811.20 / $1,046.83 / $2,070.00	Professional		$811.20	$1,046.83	$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 $635.87 / $1,014.59 / $1,743.37	Professional		$635.87	$1,014.59	$1,743.37