Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.97 / $4,771.00 / $9,539.00	Facility		$831.97	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.82 / $831.97 / $1,167.59	Professional		$681.82	$831.97	$1,167.59
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 $620.23 / $789.66 / $1,100.64	Professional		$620.23	$789.66	$1,100.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $745.63 / $1,088.46 / $3,426.00	Professional		$745.63	$1,088.46	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.62 / $962.29 / $1,692.79	Professional		$691.62	$962.29	$1,692.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.27 / $762.32 / $940.20	Professional		$635.27	$762.32	$940.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $809.75 / $995.27 / $1,450.96	Facility		$809.75	$995.27	$1,450.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,032.00 / $1,563.55	Professional		$916.00	$1,032.00	$1,563.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $712.81 / $971.39 / $7,420.00	Facility		$712.81	$971.39	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $712.81 / $971.39 / $7,420.00	Professional		$712.81	$971.39	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $654.99 / $1,004.32 / $1,536.54	Professional		$654.99	$1,004.32	$1,536.54