Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.42 / $4,771.00 / $9,539.00	Facility		$827.42	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.78 / $827.42 / $1,165.02	Professional		$738.78	$827.42	$1,165.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.41 / $839.54 / $1,170.16	Professional		$659.41	$839.54	$1,170.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $849.39 / $1,146.68 / $3,426.00	Professional		$849.39	$1,146.68	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.78 / $984.25 / $1,652.37	Professional		$715.78	$984.25	$1,652.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.91 / $809.89 / $998.87	Professional		$674.91	$809.89	$998.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $827.42 / $1,019.44 / $1,458.25	Facility		$827.42	$1,019.44	$1,458.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $992.00 / $1,106.00 / $1,662.07	Professional		$992.00	$1,106.00	$1,662.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $684.50 / $1,029.67 / $7,420.00	Facility		$684.50	$1,029.67	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $684.50 / $1,029.67 / $7,420.00	Professional		$684.50	$1,029.67	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.96 / $1,090.85 / $1,604.64	Professional		$646.96	$1,090.85	$1,604.64