Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.18 / $5,412.00 / $11,024.00	Facility		$906.18	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.70 / $906.18 / $1,129.11	Professional		$693.70	$906.18	$1,129.11
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 $767.39 / $981.32 / $1,345.88	Professional		$767.39	$981.32	$1,345.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $972.23 / $1,437.78 / $13,882.00	Professional		$972.23	$1,437.78	$13,882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $803.28 / $1,083.76 / $2,056.82	Professional		$803.28	$1,083.76	$2,056.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.68 / $940.42 / $1,159.84	Professional		$783.68	$940.42	$1,159.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $779.43 / $1,098.71 / $1,581.62	Facility		$779.43	$1,098.71	$1,581.62
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,011.00 / $1,145.00 / $1,939.90	Professional		$1,011.00	$1,145.00	$1,939.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $845.16 / $1,077.54 / $5,122.00	Facility		$845.16	$1,077.54	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $845.16 / $1,077.54 / $5,122.00	Professional		$845.16	$1,077.54	$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 $682.74 / $1,109.91 / $1,800.72	Professional		$682.74	$1,109.91	$1,800.72