Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $860.83 / $6,827.70 / $14,187.00	Facility		$860.83	$6,827.70	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.42 / $860.55 / $1,172.89	Professional		$738.42	$860.55	$1,172.89
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 $692.71 / $885.82 / $1,214.90	Professional		$692.71	$885.82	$1,214.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.00 / $916.00 / $1,625.44	Professional		$794.00	$916.00	$1,625.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $762.89 / $1,017.01 / $1,886.37	Professional		$762.89	$1,017.01	$1,886.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.15 / $861.78 / $1,062.85	Professional		$718.15	$861.78	$1,062.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $843.43 / $1,056.13 / $1,549.93	Facility		$843.43	$1,056.13	$1,549.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,001.00 / $1,098.00 / $1,761.12	Professional		$1,001.00	$1,098.00	$1,761.12
Sentara Facility/Professional Facility Modifier Low / Median / High Price $747.61 / $1,030.33 / $7,902.00	Facility		$747.61	$1,030.33	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $747.61 / $1,030.33 / $7,902.00	Professional		$747.61	$1,030.33	$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 $662.21 / $1,017.60 / $1,651.48	Professional		$662.21	$1,017.60	$1,651.48