Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $819.88 / $5,087.00 / $8,920.00	Facility		$819.88	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.38 / $811.47 / $1,019.32	Professional		$723.38	$811.47	$1,019.32
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 $658.29 / $841.81 / $1,154.54	Professional		$658.29	$841.81	$1,154.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $1,141.32 / $9,211.00	Professional		$790.00	$1,141.32	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.43 / $968.33 / $1,779.76	Professional		$721.43	$968.33	$1,779.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.25 / $818.70 / $1,009.73	Professional		$682.25	$818.70	$1,009.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $801.70 / $995.90 / $1,460.58	Facility		$801.70	$995.90	$1,460.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $899.00 / $1,019.32 / $1,673.83	Professional		$899.00	$1,019.32	$1,673.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $730.51 / $963.13 / $6,585.00	Facility		$730.51	$963.13	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $730.51 / $963.13 / $6,585.00	Professional		$730.51	$963.13	$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 $621.32 / $969.17 / $1,482.09	Professional		$621.32	$969.17	$1,482.09