Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.47 / $4,347.00 / $8,294.00	Facility		$580.47	$4,347.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $766.27 / $1,139.03	Professional		$336.22	$766.27	$1,139.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.41 / $685.56 / $1,078.05	Professional		$323.41	$685.56	$1,078.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $484.19 / $5,354.00	Professional		$368.06	$484.19	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.19 / $787.08 / $1,558.58	Professional		$355.19	$787.08	$1,558.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.64 / $901.97 / $1,114.25	Professional		$751.64	$901.97	$1,114.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.35 / $818.66 / $1,667.55	Facility		$398.35	$818.66	$1,667.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,092.00 / $1,272.00 / $1,772.00	Professional		$1,092.00	$1,272.00	$1,772.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $336.06 / $452.66 / $7,420.00	Facility		$336.06	$452.66	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $922.06 / $1,261.59 / $7,420.00	Professional		$922.06	$1,261.59	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,321.00	Facility		$6,303.00	$9,373.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.81 / $1,359.68 / $1,947.26	Professional		$801.81	$1,359.68	$1,947.26