Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $878.68 / $4,771.00 / $9,539.00	Facility		$878.68	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.80 / $878.68 / $1,623.16	Professional		$738.80	$878.68	$1,623.16
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 $685.83 / $873.19 / $1,217.05	Professional		$685.83	$873.19	$1,217.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $908.35 / $972.88 / $1,897.12	Professional		$908.35	$972.88	$1,897.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.72 / $1,024.39 / $1,771.14	Professional		$748.72	$1,024.39	$1,771.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.81 / $845.77 / $1,043.11	Professional		$704.81	$845.77	$1,043.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $805.92 / $1,006.21 / $1,447.79	Facility		$805.92	$1,006.21	$1,447.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $985.00 / $1,094.00 / $1,912.00	Professional		$985.00	$1,094.00	$1,912.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $786.87 / $1,040.77 / $3,664.86	Facility		$786.87	$1,040.77	$3,664.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $786.87 / $1,040.77 / $3,664.86	Professional		$786.87	$1,040.77	$3,664.86
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 $680.87 / $1,101.23 / $1,688.74	Professional		$680.87	$1,101.23	$1,688.74