Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.60 / $5,412.00 / $14,187.00	Facility		$653.60	$5,412.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.91 / $632.52 / $674.25	Professional		$539.91	$632.52	$674.25
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 $595.28 / $747.98 / $1,020.35	Professional		$595.28	$747.98	$1,020.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $792.25 / $1,140.83 / $5,895.00	Professional		$792.25	$1,140.83	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.97 / $755.03 / $1,389.35	Professional		$561.97	$755.03	$1,389.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $529.01 / $634.80 / $782.93	Professional		$529.01	$634.80	$782.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $632.52 / $781.85 / $1,196.08	Facility		$632.52	$781.85	$1,196.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $654.15 / $987.00 / $1,297.70	Professional		$654.15	$987.00	$1,297.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $576.03 / $746.12 / $5,122.00	Facility		$576.03	$746.12	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $576.03 / $746.12 / $5,122.00	Professional		$576.03	$746.12	$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 $593.46 / $1,338.07 / $2,392.35	Professional		$593.46	$1,338.07	$2,392.35