Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.64 / $5,388.00 / $14,187.00	Facility		$721.64	$5,388.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.45 / $721.64 / $1,211.84	Professional		$622.45	$721.64	$1,211.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.67 / $750.24 / $1,028.95	Professional		$586.67	$750.24	$1,028.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $704.97 / $1,061.28 / $9,211.00	Professional		$704.97	$1,061.28	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.49 / $852.85 / $1,582.44	Professional		$642.49	$852.85	$1,582.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.82 / $730.58 / $901.05	Professional		$608.82	$730.58	$901.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $692.54 / $886.40 / $1,245.90	Facility		$692.54	$886.40	$1,245.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $907.19 / $1,492.08	Professional		$802.00	$907.19	$1,492.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $643.33 / $854.17 / $5,122.00	Facility		$643.33	$854.17	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $643.33 / $854.17 / $5,122.00	Professional		$643.33	$854.17	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $531.75 / $886.57 / $1,382.95	Professional		$531.75	$886.57	$1,382.95