Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.66 / $5,087.00 / $8,294.00	Facility		$954.66	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $793.22 / $954.66 / $1,043.29	Professional		$793.22	$954.66	$1,043.29
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 $770.46 / $985.25 / $1,351.27	Professional		$770.46	$985.25	$1,351.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $922.79 / $1,335.83 / $9,211.00	Professional		$922.79	$1,335.83	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $847.24 / $1,128.23 / $2,093.21	Professional		$847.24	$1,128.23	$2,093.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $798.15 / $957.78 / $1,181.26	Professional		$798.15	$957.78	$1,181.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $904.76 / $1,167.49 / $1,632.85	Facility		$904.76	$1,167.49	$1,632.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,058.00 / $1,173.00 / $1,958.95	Professional		$1,058.00	$1,173.00	$1,958.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $836.94 / $1,130.81 / $5,122.00	Facility		$836.94	$1,130.81	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $836.94 / $1,130.81 / $5,122.00	Professional		$836.94	$1,130.81	$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 $701.58 / $1,113.23 / $1,823.23	Professional		$701.58	$1,113.23	$1,823.23