Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.22 / $4,771.00 / $9,539.00	Facility		$743.22	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.04 / $743.22 / $816.02	Professional		$552.04	$743.22	$816.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,671.00 / $14,495.61 / $20,189.45	Facility		$8,671.00	$14,495.61	$20,189.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.95 / $786.39 / $1,078.53	Professional		$614.95	$786.39	$1,078.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $782.48 / $878.99 / $1,530.38	Professional		$782.48	$878.99	$1,530.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $632.22 / $859.99 / $1,635.85	Professional		$632.22	$859.99	$1,635.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.38 / $761.26 / $938.88	Professional		$634.38	$761.26	$938.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $627.85 / $875.81 / $1,221.94	Facility		$627.85	$875.81	$1,221.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $790.00 / $931.72 / $1,561.73	Professional		$790.00	$931.72	$1,561.73
Sentara Facility/Professional Facility Modifier Low / Median / High Price $662.14 / $859.59 / $3,512.00	Facility		$662.14	$859.59	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $662.14 / $859.59 / $3,512.00	Professional		$662.14	$859.59	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,510.00 / $5,979.00 / $13,217.00	Facility		$3,510.00	$5,979.00	$13,217.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.00 / $871.70 / $1,446.17	Professional		$543.00	$871.70	$1,446.17