Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.87 / $5,087.00 / $8,294.00	Facility		$815.87	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.37 / $806.34 / $1,003.07	Professional		$694.37	$806.34	$1,003.07
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 $654.90 / $837.48 / $1,148.59	Professional		$654.90	$837.48	$1,148.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $786.51 / $897.00 / $1,536.40	Professional		$786.51	$897.00	$1,536.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.64 / $952.95 / $1,769.34	Professional		$708.64	$952.95	$1,769.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.10 / $814.92 / $1,005.07	Professional		$679.10	$814.92	$1,005.07
Medcost Facility/Professional Facility Modifier Low / Median / High Price $797.32 / $989.60 / $1,450.97	Facility		$797.32	$989.60	$1,450.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $894.00 / $985.00 / $1,665.29	Professional		$894.00	$985.00	$1,665.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $729.72 / $950.05 / $5,122.00	Facility		$729.72	$950.05	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $729.72 / $950.05 / $5,122.00	Professional		$729.72	$950.05	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.02 / $946.33 / $1,545.50	Professional		$593.02	$946.33	$1,545.50