Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.34 / $4,771.00 / $9,539.00	Facility		$921.34	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $782.19 / $921.34 / $1,316.55	Professional		$782.19	$921.34	$1,316.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,480.37 / $9,394.00 / $12,872.86	Facility		$6,480.37	$9,394.00	$12,872.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.80 / $952.08 / $1,327.02	Professional		$747.80	$952.08	$1,327.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $975.94 / $975.94 / $1,903.08	Professional		$975.94	$975.94	$1,903.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.24 / $1,131.67 / $1,897.69	Professional		$830.24	$1,131.67	$1,897.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.74 / $920.09 / $1,134.78	Professional		$766.74	$920.09	$1,134.78
Medcost Facility/Professional Facility Modifier Low / Median / High Price $921.34 / $1,151.94 / $1,731.44	Facility		$921.34	$1,151.94	$1,731.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,058.00 / $1,199.00 / $1,886.52	Professional		$1,058.00	$1,199.00	$1,886.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $857.82 / $1,150.16 / $3,926.84	Facility		$857.82	$1,150.16	$3,926.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $857.82 / $1,150.16 / $3,926.84	Professional		$857.82	$1,150.16	$3,926.84
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 $734.23 / $1,243.03 / $1,722.51	Professional		$734.23	$1,243.03	$1,722.51