Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.40 / $3,912.00 / $9,539.00	Facility		$899.40	$3,912.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.51 / $899.40 / $983.33	Professional		$747.51	$899.40	$983.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,392.00 / $14,798.00 / $20,993.00	Facility		$7,392.00	$14,798.00	$20,993.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.05 / $931.02 / $1,276.89	Professional		$728.05	$931.02	$1,276.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $872.66 / $1,261.34 / $9,211.00	Professional		$872.66	$1,261.34	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $799.58 / $1,062.93 / $1,974.26	Professional		$799.58	$1,062.93	$1,974.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.96 / $905.95 / $1,117.33	Professional		$754.96	$905.95	$1,117.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $856.67 / $1,084.72 / $1,475.99	Facility		$856.67	$1,084.72	$1,475.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $996.00 / $1,105.00 / $1,851.24	Professional		$996.00	$1,105.00	$1,851.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $781.13 / $1,069.48 / $9,929.00	Facility		$781.13	$1,069.48	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $781.13 / $1,069.48 / $9,929.00	Professional		$781.13	$1,069.48	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.74 / $1,054.28 / $1,745.33	Professional		$682.74	$1,054.28	$1,745.33