Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.43 / $4,796.00 / $8,925.00	Facility		$1,002.43	$4,796.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.25 / $750.51 / $1,451.00	Professional		$669.25	$750.51	$1,451.00
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 $588.94 / $748.77 / $1,045.11	Professional		$588.94	$748.77	$1,045.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $702.65 / $948.58 / $6,694.00	Professional		$702.65	$948.58	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.79 / $844.55 / $1,491.25	Professional		$640.79	$844.55	$1,491.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.25 / $723.90 / $892.81	Professional		$603.25	$723.90	$892.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $750.51 / $886.98 / $1,320.24	Facility		$750.51	$886.98	$1,320.24
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $195.81 / $212.42 / $264.05	Facility	80	$195.81	$212.42	$264.05
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $137.07 / $148.69 / $184.83	Facility	AS	$137.07	$148.69	$184.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $814.00 / $937.00 / $1,487.78	Professional		$814.00	$937.00	$1,487.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $599.74 / $871.47 / $7,420.00	Facility		$599.74	$871.47	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $599.74 / $871.47 / $7,420.00	Professional		$599.74	$871.47	$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 $582.67 / $772.74 / $1,375.80	Professional		$582.67	$772.74	$1,375.80