Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.33 / $6,903.08 / $14,796.00	Facility		$873.33	$6,903.08	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $867.11 / $4,024.39 / $7,181.88	Professional		$867.11	$4,024.39	$7,181.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,608.00 / $8,508.00 / $9,173.00	Facility		$6,608.00	$8,508.00	$9,173.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.72 / $2,605.04 / $7,742.10	Professional		$753.72	$2,605.04	$7,742.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $841.72 / $1,215.76 / $9,211.00	Professional		$841.72	$1,215.76	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.25 / $1,900.21 / $11,279.60	Professional		$855.25	$1,900.21	$11,279.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,184.85 / $6,225.29 / $7,781.61	Professional		$5,184.85	$6,225.29	$7,781.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $867.12 / $1,910.33 / $10,270.09	Facility		$867.12	$1,910.33	$10,270.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,784.86 / $8,862.00 / $13,732.00	Professional		$1,784.86	$8,862.00	$13,732.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $809.78 / $1,122.27 / $9,929.00	Facility		$809.78	$1,122.27	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,429.46 / $8,208.41 / $14,583.36	Professional		$1,429.46	$8,208.41	$14,583.36
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $22,621.00 / $43,122.03	Facility		$12,301.00	$22,621.00	$43,122.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,143.57 / $6,122.82 / $13,374.52	Professional		$1,143.57	$6,122.82	$13,374.52