Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.29 / $5,980.00 / $14,867.45	Facility		$881.29	$5,980.00	$14,867.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.64 / $881.29 / $993.96	Professional		$759.64	$881.29	$993.96
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 $740.35 / $946.74 / $1,298.45	Professional		$740.35	$946.74	$1,298.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $937.70 / $1,053.67 / $1,834.52	Professional		$937.70	$1,053.67	$1,834.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.62 / $1,051.41 / $1,964.84	Professional		$784.62	$1,051.41	$1,964.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.41 / $917.29 / $1,131.33	Professional		$764.41	$917.29	$1,131.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $870.13 / $1,081.01 / $1,579.33	Facility		$870.13	$1,081.01	$1,579.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $1,104.00 / $1,882.87	Professional		$982.00	$1,104.00	$1,882.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $814.81 / $1,059.25 / $3,808.42	Facility		$814.81	$1,059.25	$3,808.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $814.81 / $1,059.25 / $3,808.42	Professional		$814.81	$1,059.25	$3,808.42
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 $658.56 / $1,062.21 / $1,737.00	Professional		$658.56	$1,062.21	$1,737.00