Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.81 / $4,771.00 / $9,539.00	Facility		$947.81	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $777.96 / $947.81 / $1,321.82	Professional		$777.96	$947.81	$1,321.82
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 $732.61 / $932.75 / $1,300.07	Professional		$732.61	$932.75	$1,300.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $969.85 / $1,088.33 / $2,122.23	Professional		$969.85	$1,088.33	$2,122.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.25 / $1,099.15 / $2,065.62	Professional		$799.25	$1,099.15	$2,065.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.38 / $902.86 / $1,113.52	Professional		$752.38	$902.86	$1,113.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $859.87 / $1,071.03 / $1,601.80	Facility		$859.87	$1,071.03	$1,601.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $964.00 / $1,103.00 / $1,851.22	Professional		$964.00	$1,103.00	$1,851.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $856.63 / $1,142.20 / $4,462.00	Facility		$856.63	$1,142.20	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $856.63 / $1,142.20 / $4,462.00	Professional		$856.63	$1,142.20	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.00 / $3,295.00 / $5,790.00	Facility		$1,621.00	$3,295.00	$5,790.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.30 / $1,340.41 / $1,872.23	Professional		$728.30	$1,340.41	$1,872.23