Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.44 / $4,771.00 / $9,539.00	Facility		$736.44	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.34 / $736.44 / $804.67	Professional		$614.34	$736.44	$804.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.51 / $762.81 / $1,046.19	Professional		$596.51	$762.81	$1,046.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $717.04 / $1,011.63 / $2,413.00	Professional		$717.04	$1,011.63	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $657.24 / $888.75 / $1,613.50	Professional		$657.24	$888.75	$1,613.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $618.69 / $742.43 / $915.66	Professional		$618.69	$742.43	$915.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $703.91 / $903.81 / $1,324.27	Facility		$703.91	$903.81	$1,324.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $827.00 / $938.00 / $1,517.04	Professional		$827.00	$938.00	$1,517.04
Sentara Facility/Professional Facility Modifier Low / Median / High Price $672.96 / $876.55 / $3,512.00	Facility		$672.96	$876.55	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $672.96 / $876.55 / $3,512.00	Professional		$672.96	$876.55	$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 $568.88 / $947.40 / $1,343.63	Professional		$568.88	$947.40	$1,343.63