Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.60 / $4,796.00 / $9,918.00	Facility		$893.60	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.27 / $893.60 / $992.23	Professional		$776.27	$893.60	$992.23
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 $728.98 / $932.20 / $1,286.59	Professional		$728.98	$932.20	$1,286.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $966.50 / $1,493.99 / $13,882.00	Professional		$966.50	$1,493.99	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $787.73 / $1,090.34 / $2,010.49	Professional		$787.73	$1,090.34	$2,010.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.53 / $889.84 / $1,097.46	Professional		$741.53	$889.84	$1,097.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $893.60 / $1,103.31 / $1,635.29	Facility		$893.60	$1,103.31	$1,635.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $998.00 / $1,144.00 / $1,823.47	Professional		$998.00	$1,144.00	$1,823.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $821.73 / $1,076.42 / $2,070.00	Facility		$821.73	$1,076.42	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $821.73 / $1,076.42 / $2,070.00	Professional		$821.73	$1,076.42	$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 $654.66 / $1,153.74 / $1,745.30	Professional		$654.66	$1,153.74	$1,745.30