Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.52 / $5,412.00 / $19,599.00	Facility		$874.52	$5,412.00	$19,599.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $725.65 / $874.52 / $1,246.52	Professional		$725.65	$874.52	$1,246.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.66 / $897.17 / $1,250.47	Professional		$704.66	$897.17	$1,250.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $861.01 / $943.86 / $1,840.53	Professional		$861.01	$943.86	$1,840.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $759.62 / $1,043.40 / $1,772.23	Professional		$759.62	$1,043.40	$1,772.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.09 / $876.11 / $1,080.53	Professional		$730.09	$876.11	$1,080.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $861.98 / $1,083.89 / $1,562.11	Facility		$861.98	$1,083.89	$1,562.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $980.00 / $1,106.33 / $1,788.67	Professional		$980.00	$1,106.33	$1,788.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $779.01 / $1,041.38 / $5,502.98	Facility		$779.01	$1,041.38	$5,502.98
Sentara Facility/Professional Professional Modifier Low / Median / High Price $779.01 / $1,041.38 / $5,502.98	Professional		$779.01	$1,041.38	$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 $690.34 / $1,055.08 / $1,691.21	Professional		$690.34	$1,055.08	$1,691.21