Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $830.66 / $4,771.00 / $9,539.00	Facility		$830.66	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.49 / $830.66 / $887.84	Professional		$694.49	$830.66	$887.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,604.05 / $10,127.70 / $14,105.84	Facility		$6,604.05	$10,127.70	$14,105.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.15 / $823.73 / $1,129.74	Professional		$644.15	$823.73	$1,129.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $804.28 / $900.79 / $1,568.35	Professional		$804.28	$900.79	$1,568.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $704.67 / $955.48 / $1,828.01	Professional		$704.67	$955.48	$1,828.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.79 / $801.35 / $988.33	Professional		$667.79	$801.35	$988.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $1,019.45 / $1,366.41	Facility		$759.22	$1,019.45	$1,366.41
Medcost Facility/Professional Professional Modifier Low / Median / High Price $878.00 / $995.20 / $1,637.95	Professional		$878.00	$995.20	$1,637.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $726.03 / $954.95 / $2,070.00	Facility		$726.03	$954.95	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $726.03 / $954.95 / $2,070.00	Professional		$726.03	$954.95	$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 $606.78 / $964.43 / $1,610.22	Professional		$606.78	$964.43	$1,610.22