Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.02 / $4,796.00 / $9,918.00	Facility		$801.02	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.38 / $801.02 / $1,213.94	Professional		$694.38	$801.02	$1,213.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.07 / $835.13 / $1,145.38	Professional		$653.07	$835.13	$1,145.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $867.08 / $1,040.83 / $1,812.15	Professional		$867.08	$1,040.83	$1,812.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.96 / $998.49 / $1,798.41	Professional		$706.96	$998.49	$1,798.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.50 / $798.60 / $984.94	Professional		$665.50	$798.60	$984.94
Medcost Facility/Professional Facility Modifier Low / Median / High Price $801.02 / $987.04 / $1,465.87	Facility		$801.02	$987.04	$1,465.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.00 / $1,022.00 / $1,634.64	Professional		$891.00	$1,022.00	$1,634.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $737.30 / $968.86 / $2,070.00	Facility		$737.30	$968.86	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $737.30 / $968.86 / $2,070.00	Professional		$737.30	$968.86	$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 $594.76 / $1,043.46 / $1,613.33	Professional		$594.76	$1,043.46	$1,613.33