Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.88 / $6,518.00 / $14,796.00	Facility		$744.88	$6,518.00	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.47 / $744.88 / $925.25	Professional		$640.47	$744.88	$925.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.35 / $770.28 / $1,056.43	Professional		$602.35	$770.28	$1,056.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $722.17 / $1,043.80 / $8,031.00	Professional		$722.17	$1,043.80	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.13 / $889.56 / $1,631.62	Professional		$676.13	$889.56	$1,631.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.28 / $749.14 / $923.93	Professional		$624.28	$749.14	$923.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.88 / $913.34 / $1,341.52	Facility		$744.88	$913.34	$1,341.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $830.00 / $951.00 / $1,531.46	Professional		$830.00	$951.00	$1,531.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $661.95 / $900.84 / $7,902.00	Facility		$661.95	$900.84	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $661.95 / $900.84 / $7,902.00	Professional		$661.95	$900.84	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.74 / $880.39 / $1,422.39	Professional		$568.74	$880.39	$1,422.39