Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.07 / $4,771.00 / $9,539.00	Facility		$955.07	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.30 / $955.07 / $1,044.01	Professional		$804.30	$955.07	$1,044.01
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 $773.23 / $988.79 / $1,356.12	Professional		$773.23	$988.79	$1,356.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $975.74 / $1,097.59 / $1,911.00	Professional		$975.74	$1,097.59	$1,911.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.26 / $1,128.72 / $2,094.19	Professional		$851.26	$1,128.72	$2,094.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.33 / $961.60 / $1,185.97	Professional		$801.33	$961.60	$1,185.97
Medcost Facility/Professional Facility Modifier Low / Median / High Price $909.19 / $1,169.93 / $1,639.06	Facility		$909.19	$1,169.93	$1,639.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,078.00 / $1,192.00 / $1,966.20	Professional		$1,078.00	$1,192.00	$1,966.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.51 / $1,133.36 / $2,120.83	Facility		$831.51	$1,133.36	$2,120.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.51 / $1,133.36 / $2,120.83	Professional		$831.51	$1,133.36	$2,120.83
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 $735.98 / $1,139.46 / $1,851.37	Professional		$735.98	$1,139.46	$1,851.37