Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.58 / $4,771.00 / $9,539.00	Facility		$659.58	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.12 / $659.58 / $721.24	Professional		$547.12	$659.58	$721.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.51 / $687.36 / $942.71	Professional		$537.51	$687.36	$942.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $680.70 / $965.87 / $5,354.00	Professional		$680.70	$965.87	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.05 / $779.75 / $1,447.09	Professional		$592.05	$779.75	$1,447.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.34 / $668.81 / $824.86	Professional		$557.34	$668.81	$824.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $634.60 / $809.49 / $1,142.30	Facility		$634.60	$809.49	$1,142.30
Medcost Facility/Professional Professional Modifier Low / Median / High Price $728.00 / $813.00 / $1,366.92	Professional		$728.00	$813.00	$1,366.92
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.47 / $783.01 / $6,585.00	Facility		$575.47	$783.01	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.47 / $783.01 / $6,585.00	Professional		$575.47	$783.01	$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 $485.05 / $727.20 / $1,266.54	Professional		$485.05	$727.20	$1,266.54