Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.28 / $4,771.00 / $9,539.00	Facility		$978.28	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.46 / $976.92 / $978.28	Professional		$803.46	$976.92	$978.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,162.00 / $17,132.29 / $23,861.81	Facility		$11,162.00	$17,132.29	$23,861.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.90 / $1,013.94 / $1,390.61	Professional		$792.90	$1,013.94	$1,390.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.58 / $1,166.98 / $2,031.80	Professional		$1,000.58	$1,166.98	$2,031.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $856.10 / $1,156.15 / $2,200.33	Professional		$856.10	$1,156.15	$2,200.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.90 / $967.08 / $1,192.73	Professional		$805.90	$967.08	$1,192.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $937.15 / $1,209.90 / $1,723.45	Facility		$937.15	$1,209.90	$1,723.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,090.00 / $1,236.06 / $1,981.82	Professional		$1,090.00	$1,236.06	$1,981.82
Sentara Facility/Professional Facility Modifier Low / Median / High Price $865.42 / $1,173.86 / $2,185.96	Facility		$865.42	$1,173.86	$2,185.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $865.42 / $1,173.86 / $2,185.96	Professional		$865.42	$1,173.86	$2,185.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.49 / $1,177.80 / $1,905.17	Professional		$716.49	$1,177.80	$1,905.17