Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.08 / $5,087.00 / $8,920.00	Facility		$854.08	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.25 / $854.08 / $1,691.67	Professional		$756.25	$854.08	$1,691.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.56 / $877.96 / $1,204.11	Professional		$686.56	$877.96	$1,204.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $823.39 / $1,191.11 / $4,716.00	Professional		$823.39	$1,191.11	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.72 / $1,008.81 / $1,863.27	Professional		$755.72	$1,008.81	$1,863.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.40 / $853.68 / $1,052.86	Professional		$711.40	$853.68	$1,052.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $835.48 / $1,044.01 / $1,530.32	Facility		$835.48	$1,044.01	$1,530.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $941.00 / $1,048.00 / $1,745.64	Professional		$941.00	$1,048.00	$1,745.64
Sentara Facility/Professional Facility Modifier Low / Median / High Price $772.68 / $1,008.35 / $6,585.00	Facility		$772.68	$1,008.35	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $772.68 / $1,008.35 / $6,585.00	Professional		$772.68	$1,008.35	$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 $652.33 / $1,024.70 / $1,551.63	Professional		$652.33	$1,024.70	$1,551.63