Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,495.41 / $10,000.00	Facility		$794.33	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,288.25	Professional		$630.96	$776.25	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,230.27	Professional		$660.69	$870.96	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,148.15	Professional		$691.83	$912.01	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,412.54	Professional		$645.65	$870.96	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,862.09	Professional		$602.56	$758.58	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,584.89	Professional		$870.96	$1,096.48	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,445.44	Facility		$691.83	$977.24	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $8,709.64	Facility		$630.96	$933.25	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $8,709.64	Professional		$630.96	$933.25	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $14,125.38	Facility		$3,801.89	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $851.14 / $1,412.54	Professional		$562.34	$851.14	$1,412.54