Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $850.27 / $4,771.00 / $9,539.00	Facility		$850.27	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.65 / $850.27 / $1,234.91	Professional		$700.65	$850.27	$1,234.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,966.61 / $33,300.96 / $46,381.49	Facility		$14,966.61	$33,300.96	$46,381.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.43 / $882.38 / $1,231.61	Professional		$693.43	$882.38	$1,231.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.00 / $922.49 / $1,331.63	Professional		$676.00	$922.49	$1,331.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.89 / $1,043.51 / $1,782.09	Professional		$755.89	$1,043.51	$1,782.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.56 / $853.87 / $1,053.10	Professional		$711.56	$853.87	$1,053.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $782.03 / $1,004.86 / $1,531.13	Facility		$782.03	$1,004.86	$1,531.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $961.00 / $1,360.00 / $1,755.72	Professional		$961.00	$1,360.00	$1,755.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $772.98 / $1,012.60 / $3,658.00	Facility		$772.98	$1,012.60	$3,658.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $772.98 / $1,012.60 / $3,658.00	Professional		$772.98	$1,012.60	$3,658.00
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 $685.58 / $1,065.65 / $1,617.58	Professional		$685.58	$1,065.65	$1,617.58