Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.80 / $5,412.00 / $14,187.00	Facility		$913.80	$5,412.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.64 / $913.80 / $1,285.70	Professional		$749.64	$913.80	$1,285.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.06 / $925.62 / $1,291.98	Professional		$728.06	$925.62	$1,291.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $885.56 / $946.00 / $1,844.70	Professional		$885.56	$946.00	$1,844.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.76 / $1,043.14 / $1,831.98	Professional		$786.76	$1,043.14	$1,831.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.92 / $898.70 / $1,108.40	Professional		$748.92	$898.70	$1,108.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $873.22 / $1,079.95 / $1,544.32	Facility		$873.22	$1,079.95	$1,544.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,007.00 / $1,126.00 / $1,841.11	Professional		$1,007.00	$1,126.00	$1,841.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $795.56 / $1,057.13 / $5,502.98	Facility		$795.56	$1,057.13	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $795.56 / $1,057.13 / $5,502.98	Professional		$795.56	$1,057.13	$5,502.98
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 $704.26 / $1,042.18 / $1,662.88	Professional		$704.26	$1,042.18	$1,662.88