Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.89 / $3,633.00 / $8,920.00	Facility		$643.89	$3,633.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $866.34 / $1,115.50 / $1,149.16	Professional		$866.34	$1,115.50	$1,149.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.05 / $820.92 / $1,157.32	Professional		$661.05	$820.92	$1,157.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $418.75 / $1,013.00	Professional		$335.00	$418.75	$1,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.83 / $1,075.73 / $1,966.25	Professional		$368.83	$1,075.73	$1,966.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.75 / $894.90 / $1,103.71	Professional		$745.75	$894.90	$1,103.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $435.54 / $1,149.16 / $1,698.91	Facility		$435.54	$1,149.16	$1,698.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.53 / $1,082.00 / $1,900.01	Professional		$416.53	$1,082.00	$1,900.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $371.94 / $1,111.82 / $2,267.82	Facility		$371.94	$1,111.82	$2,267.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $371.94 / $1,111.82 / $2,267.82	Professional		$371.94	$1,111.82	$2,267.82
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.77 / $474.06 / $705.88	Professional		$263.77	$474.06	$705.88