Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.96 / $4,771.00 / $9,539.00	Facility		$842.96	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $726.15 / $842.96 / $944.77	Professional		$726.15	$842.96	$944.77
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 $684.10 / $874.82 / $1,199.81	Professional		$684.10	$874.82	$1,199.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $863.82 / $1,287.03 / $7,369.00	Professional		$863.82	$1,287.03	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.34 / $996.23 / $1,851.21	Professional		$750.34	$996.23	$1,851.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.55 / $850.26 / $1,048.65	Professional		$708.55	$850.26	$1,048.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $832.13 / $1,034.23 / $1,518.21	Facility		$832.13	$1,034.23	$1,518.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $944.00 / $1,042.00 / $1,739.40	Professional		$944.00	$1,042.00	$1,739.40
Sentara Facility/Professional Facility Modifier Low / Median / High Price $767.67 / $996.82 / $5,122.00	Facility		$767.67	$996.82	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $767.67 / $996.82 / $5,122.00	Professional		$767.67	$996.82	$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 $629.00 / $1,006.40 / $1,614.89	Professional		$629.00	$1,006.40	$1,614.89