Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.33 / $4,390.00 / $8,920.00	Facility		$953.33	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $784.19 / $953.33 / $1,501.17	Professional		$784.19	$953.33	$1,501.17
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 $773.53 / $989.18 / $1,356.66	Professional		$773.53	$989.18	$1,356.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $931.72 / $1,148.13 / $1,998.98	Professional		$931.72	$1,148.13	$1,998.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.80 / $1,158.77 / $2,135.17	Professional		$835.80	$1,158.77	$2,135.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $786.78 / $944.14 / $1,164.43	Professional		$786.78	$944.14	$1,164.43
Medcost Facility/Professional Facility Modifier Low / Median / High Price $953.33 / $1,173.08 / $1,744.59	Facility		$953.33	$1,173.08	$1,744.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,056.00 / $1,215.00 / $1,934.62	Professional		$1,056.00	$1,215.00	$1,934.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $868.63 / $1,144.19 / $5,122.00	Facility		$868.63	$1,144.19	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $868.63 / $1,144.19 / $5,122.00	Professional		$868.63	$1,144.19	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.27 / $1,229.83 / $1,852.38	Professional		$695.27	$1,229.83	$1,852.38