Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.83 / $5,412.00 / $10,767.00	Facility		$853.83	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.44 / $853.83 / $1,046.20	Professional		$646.44	$853.83	$1,046.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $736.65 / $942.02 / $1,291.98	Professional		$736.65	$942.02	$1,291.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $880.64 / $1,132.26 / $9,211.00	Professional		$880.64	$1,132.26	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $735.02 / $1,009.08 / $1,947.07	Professional		$735.02	$1,009.08	$1,947.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $751.04 / $901.25 / $1,111.54	Professional		$751.04	$901.25	$1,111.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $732.54 / $1,047.88 / $1,419.65	Facility		$732.54	$1,047.88	$1,419.65
Medcost Facility/Professional Professional Modifier Low / Median / High Price $916.00 / $1,070.00 / $1,786.00	Professional		$916.00	$1,070.00	$1,786.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $763.74 / $1,012.52 / $5,122.00	Facility		$763.74	$1,012.52	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $763.74 / $1,012.52 / $5,122.00	Professional		$763.74	$1,012.52	$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 $646.29 / $985.24 / $1,712.78	Professional		$646.29	$985.24	$1,712.78