Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.07 / $5,412.00 / $11,425.00	Facility		$915.07	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $692.08 / $915.07 / $1,029.15	Professional		$692.08	$915.07	$1,029.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.16 / $984.86 / $1,350.73	Professional		$770.16	$984.86	$1,350.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $925.88 / $1,305.88 / $9,211.00	Professional		$925.88	$1,305.88	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $797.55 / $1,081.45 / $2,054.36	Professional		$797.55	$1,081.45	$2,054.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.05 / $951.66 / $1,173.71	Professional		$793.05	$951.66	$1,173.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $781.82 / $1,102.88 / $1,561.47	Facility		$781.82	$1,102.88	$1,561.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,010.00 / $1,152.00 / $1,950.55	Professional		$1,010.00	$1,152.00	$1,950.55
Sentara Facility/Professional Facility Modifier Low / Median / High Price $851.95 / $1,088.10 / $6,585.00	Facility		$851.95	$1,088.10	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.95 / $1,088.10 / $6,585.00	Professional		$851.95	$1,088.10	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $681.92 / $1,090.33 / $1,799.47	Professional		$681.92	$1,090.33	$1,799.47