Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.93 / $5,087.00 / $8,920.00	Facility		$865.93	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.91 / $865.93 / $945.88	Professional		$734.91	$865.93	$945.88
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 $701.32 / $896.83 / $1,230.00	Professional		$701.32	$896.83	$1,230.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $916.00 / $1,626.83	Professional		$794.00	$916.00	$1,626.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $772.80 / $1,023.37 / $1,897.70	Professional		$772.80	$1,023.37	$1,897.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.48 / $872.98 / $1,076.67	Professional		$727.48	$872.98	$1,076.67
Medcost Facility/Professional Facility Modifier Low / Median / High Price $826.60 / $1,061.44 / $1,488.85	Facility		$826.60	$1,061.44	$1,488.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $976.00 / $1,088.00 / $1,783.39	Professional		$976.00	$1,088.00	$1,783.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $751.84 / $1,029.67 / $3,678.20	Facility		$751.84	$1,029.67	$3,678.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $751.84 / $1,029.67 / $3,678.20	Professional		$751.84	$1,029.67	$3,678.20
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 $644.38 / $1,015.73 / $1,656.72	Professional		$644.38	$1,015.73	$1,656.72