Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.12 / $3,645.00 / $8,294.00	Facility		$716.12	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.58 / $716.12 / $783.34	Professional		$594.58	$716.12	$783.34
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 $582.38 / $744.74 / $1,021.41	Professional		$582.38	$744.74	$1,021.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $699.85 / $1,010.13 / $7,369.00	Professional		$699.85	$1,010.13	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $637.01 / $846.32 / $1,570.38	Professional		$637.01	$846.32	$1,570.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.39 / $725.27 / $894.50	Professional		$604.39	$725.27	$894.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $687.54 / $879.31 / $1,236.71	Facility		$687.54	$879.31	$1,236.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $793.00 / $880.00 / $1,481.11	Professional		$793.00	$880.00	$1,481.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $623.85 / $846.51 / $3,512.00	Facility		$623.85	$846.51	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $623.85 / $846.51 / $3,512.00	Professional		$623.85	$846.51	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,524.00 / $5,979.00 / $13,217.00	Facility		$3,524.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.85 / $833.55 / $1,372.48	Professional		$542.85	$833.55	$1,372.48