Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.10 / $3,645.00 / $8,294.00	Facility		$991.10	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.21 / $991.10 / $1,108.41	Professional		$822.21	$991.10	$1,108.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.58 / $1,023.77 / $1,404.10	Professional		$800.58	$1,023.77	$1,404.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $959.34 / $1,386.39 / $5,895.00	Professional		$959.34	$1,386.39	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.10 / $1,171.30 / $2,172.36	Professional		$880.10	$1,171.30	$2,172.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.92 / $995.90 / $1,228.28	Professional		$829.92	$995.90	$1,228.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $941.49 / $1,216.34 / $1,697.75	Facility		$941.49	$1,216.34	$1,697.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,104.00 / $1,218.00 / $2,035.58	Professional		$1,104.00	$1,218.00	$2,035.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $860.83 / $1,178.51 / $5,122.00	Facility		$860.83	$1,178.51	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $860.83 / $1,178.51 / $5,122.00	Professional		$860.83	$1,178.51	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.31 / $1,159.24 / $1,901.87	Professional		$754.31	$1,159.24	$1,901.87