Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.33 / $4,796.00 / $9,918.00	Facility		$811.33	$4,796.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $674.08 / $811.33 / $882.67	Professional		$674.08	$811.33	$882.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.46 / $824.12 / $1,130.28	Professional		$644.46	$824.12	$1,130.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $766.05 / $1,117.89 / $9,211.00	Professional		$766.05	$1,117.89	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.03 / $966.69 / $1,777.71	Professional		$709.03	$966.69	$1,777.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.44 / $800.93 / $987.81	Professional		$667.44	$800.93	$987.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $751.66 / $995.72 / $1,415.73	Facility		$751.66	$995.72	$1,415.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $902.00 / $1,034.00 / $1,637.47	Professional		$902.00	$1,034.00	$1,637.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $737.19 / $978.47 / $6,585.00	Facility		$737.19	$978.47	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $737.19 / $978.47 / $6,585.00	Professional		$737.19	$978.47	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.58 / $1,023.52 / $1,480.38	Professional		$619.58	$1,023.52	$1,480.38