Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.06 / $4,771.00 / $9,539.00	Facility		$884.06	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.40 / $884.06 / $990.02	Professional		$734.40	$884.06	$990.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.45 / $914.90 / $1,254.78	Professional		$715.45	$914.90	$1,254.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $857.76 / $1,225.40 / $4,284.00	Professional		$857.76	$1,225.40	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $785.04 / $1,044.80 / $1,941.43	Professional		$785.04	$1,044.80	$1,941.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.96 / $890.35 / $1,098.09	Professional		$741.96	$890.35	$1,098.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.15 / $1,085.43 / $1,517.97	Facility		$842.15	$1,085.43	$1,517.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $1,086.00 / $1,819.15	Professional		$982.00	$1,086.00	$1,819.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $767.44 / $1,046.47 / $3,763.04	Facility		$767.44	$1,046.47	$3,763.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $767.44 / $1,046.47 / $3,763.04	Professional		$767.44	$1,046.47	$3,763.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $666.15 / $1,028.51 / $1,616.72	Professional		$666.15	$1,028.51	$1,616.72