Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.73 / $5,048.00 / $14,796.00	Facility		$808.73	$5,048.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $671.59 / $808.73 / $906.26	Professional		$671.59	$808.73	$906.26
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 $655.83 / $838.66 / $1,150.22	Professional		$655.83	$838.66	$1,150.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $820.66 / $919.14 / $1,600.29	Professional		$820.66	$919.14	$1,600.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.95 / $955.78 / $1,773.69	Professional		$718.95	$955.78	$1,773.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.75 / $815.70 / $1,006.03	Professional		$679.75	$815.70	$1,006.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $772.13 / $992.53 / $1,392.15	Facility		$772.13	$992.53	$1,392.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $897.00 / $994.00 / $1,667.66	Professional		$897.00	$994.00	$1,667.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $703.07 / $956.11 / $3,512.00	Facility		$703.07	$956.11	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $703.07 / $956.11 / $3,512.00	Professional		$703.07	$956.11	$3,512.00
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 $608.27 / $914.80 / $1,568.02	Professional		$608.27	$914.80	$1,568.02