Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.74 / $5,412.00 / $11,024.00	Facility		$806.74	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $718.18 / $806.74 / $1,014.34	Professional		$718.18	$806.74	$1,014.34
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 $655.83 / $838.66 / $1,150.22	Professional		$655.83	$838.66	$1,150.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $829.34 / $1,234.92 / $3,426.00	Professional		$829.34	$1,234.92	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.54 / $953.42 / $1,770.17	Professional		$718.54	$953.42	$1,770.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.47 / $815.36 / $1,005.62	Professional		$679.47	$815.36	$1,005.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $797.72 / $990.09 / $1,451.67	Facility		$797.72	$990.09	$1,451.67
Medcost Facility/Professional Professional Modifier Low / Median / High Price $911.00 / $1,010.00 / $1,667.59	Professional		$911.00	$1,010.00	$1,667.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $702.17 / $947.47 / $5,122.00	Facility		$702.17	$947.47	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $702.17 / $947.47 / $5,122.00	Professional		$702.17	$947.47	$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 $611.30 / $938.69 / $1,564.91	Professional		$611.30	$938.69	$1,564.91