Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.84 / $3,645.00 / $8,294.00	Facility		$902.84	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $749.47 / $902.84 / $985.93	Professional		$749.47	$902.84	$985.93
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 $729.59 / $932.98 / $1,279.58	Professional		$729.59	$932.98	$1,279.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $874.51 / $1,264.68 / $5,895.00	Professional		$874.51	$1,264.68	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $801.35 / $1,067.00 / $1,979.46	Professional		$801.35	$1,067.00	$1,979.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.57 / $907.88 / $1,119.72	Professional		$756.57	$907.88	$1,119.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $858.47 / $1,108.04 / $1,547.19	Facility		$858.47	$1,108.04	$1,547.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $993.00 / $1,109.00 / $1,855.22	Professional		$993.00	$1,109.00	$1,855.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $782.47 / $1,073.56 / $5,122.00	Facility		$782.47	$1,073.56	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $782.47 / $1,073.56 / $5,122.00	Professional		$782.47	$1,073.56	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,486.00 / $17,192.00	Facility		$5,121.00	$8,486.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.47 / $1,092.85 / $1,725.62	Professional		$663.47	$1,092.85	$1,725.62