Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.52 / $4,771.00 / $9,539.00	Facility		$996.52	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $836.49 / $996.52 / $1,408.09	Professional		$836.49	$996.52	$1,408.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.74 / $1,018.21 / $1,419.18	Professional		$799.74	$1,018.21	$1,419.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $778.00 / $963.26 / $1,918.61	Professional		$778.00	$963.26	$1,918.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $867.17 / $1,214.61 / $2,028.73	Professional		$867.17	$1,214.61	$2,028.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.31 / $984.37 / $1,214.06	Professional		$820.31	$984.37	$1,214.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $996.52 / $1,230.51 / $1,823.63	Facility		$996.52	$1,230.51	$1,823.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,135.00 / $1,283.00 / $2,017.42	Professional		$1,135.00	$1,283.00	$2,017.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $898.15 / $1,251.80 / $9,929.00	Facility		$898.15	$1,251.80	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $898.15 / $1,251.80 / $9,929.00	Professional		$898.15	$1,251.80	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.52 / $1,316.64 / $1,940.39	Professional		$782.52	$1,316.64	$1,940.39