Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $910.87 / $3,645.00 / $8,294.00	Facility		$910.87	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.71 / $906.57 / $1,127.21	Professional		$779.71	$906.57	$1,127.21
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 $732.97 / $937.31 / $1,285.52	Professional		$732.97	$937.31	$1,285.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $877.94 / $1,268.31 / $9,211.00	Professional		$877.94	$1,268.31	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.49 / $1,071.40 / $1,990.67	Professional		$806.49	$1,071.40	$1,990.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.72 / $911.66 / $1,124.39	Professional		$759.72	$911.66	$1,124.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $861.43 / $1,114.82 / $1,633.59	Facility		$861.43	$1,114.82	$1,633.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,015.00 / $1,117.00 / $1,863.60	Professional		$1,015.00	$1,117.00	$1,863.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $810.78 / $1,073.19 / $6,585.00	Facility		$810.78	$1,073.19	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $810.78 / $1,073.19 / $6,585.00	Professional		$810.78	$1,073.19	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $688.82 / $1,057.86 / $1,734.05	Professional		$688.82	$1,057.86	$1,734.05