Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.53 / $5,087.00 / $8,920.00	Facility		$769.53	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $744.10 / $928.72	Professional		$645.60	$744.10	$928.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,814.00 / $13,820.00 / $14,999.00	Facility		$10,814.00	$13,820.00	$14,999.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.95 / $786.39 / $1,078.53	Professional		$614.95	$786.39	$1,078.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $744.17 / $1,068.70 / $9,211.00	Professional		$744.17	$1,068.70	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $665.12 / $884.88 / $1,635.08	Professional		$665.12	$884.88	$1,635.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.41 / $766.10 / $944.86	Professional		$638.41	$766.10	$944.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.10 / $913.21 / $1,335.21	Facility		$744.10	$913.21	$1,335.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $823.00 / $926.00 / $1,564.80	Professional		$823.00	$926.00	$1,564.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $677.99 / $884.81 / $9,929.00	Facility		$677.99	$884.81	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $677.99 / $884.81 / $9,929.00	Professional		$677.99	$884.81	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,150.00 / $26,218.00 / $46,969.00	Facility		$12,150.00	$26,218.00	$46,969.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.29 / $872.78 / $1,439.73	Professional		$566.29	$872.78	$1,439.73