Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.74 / $4,771.00 / $9,539.00	Facility		$872.74	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.17 / $872.74 / $1,111.74	Professional		$748.17	$872.74	$1,111.74
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 $706.84 / $903.90 / $1,239.69	Professional		$706.84	$903.90	$1,239.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $892.15 / $1,020.44 / $1,776.66	Professional		$892.15	$1,020.44	$1,776.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $778.24 / $1,031.42 / $1,915.73	Professional		$778.24	$1,031.42	$1,915.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.60 / $879.12 / $1,084.25	Professional		$732.60	$879.12	$1,084.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $831.45 / $1,071.80 / $1,498.95	Facility		$831.45	$1,071.80	$1,498.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,108.00 / $1,797.24	Professional		$1,000.00	$1,108.00	$1,797.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $770.10 / $1,041.41 / $5,122.00	Facility		$770.10	$1,041.41	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $770.10 / $1,041.41 / $5,122.00	Professional		$770.10	$1,041.41	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $9,270.00 / $17,192.00	Facility		$5,121.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $642.10 / $995.18 / $1,677.20	Professional		$642.10	$995.18	$1,677.20