Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.33 / $4,771.00 / $9,539.00	Facility		$830.33	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.88 / $830.33 / $905.92	Professional		$698.88	$830.33	$905.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,927.78 / $20,791.37	Facility		$8,671.00	$14,927.78	$20,791.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.76 / $829.62 / $1,137.82	Professional		$648.76	$829.62	$1,137.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $820.29 / $950.23 / $1,654.42	Professional		$820.29	$950.23	$1,654.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $713.85 / $962.22 / $1,825.28	Professional		$713.85	$962.22	$1,825.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.99 / $806.39 / $994.55	Professional		$671.99	$806.39	$994.55
Medcost Facility/Professional Facility Modifier Low / Median / High Price $804.83 / $1,016.11 / $1,449.64	Facility		$804.83	$1,016.11	$1,449.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $901.00 / $1,032.00 / $1,649.52	Professional		$901.00	$1,032.00	$1,649.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $717.72 / $980.10 / $2,070.00	Facility		$717.72	$980.10	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $717.72 / $980.10 / $2,070.00	Professional		$717.72	$980.10	$2,070.00
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 $613.23 / $915.54 / $1,606.70	Professional		$613.23	$915.54	$1,606.70