Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.16 / $5,087.00 / $8,920.00	Facility		$532.16	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.41 / $532.16 / $656.45	Professional		$403.41	$532.16	$656.45
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 $457.29 / $584.78 / $802.02	Professional		$457.29	$584.78	$802.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $553.90 / $803.59 / $9,211.00	Professional		$553.90	$803.59	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.47 / $628.91 / $1,193.15	Professional		$465.47	$628.91	$1,193.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.96 / $566.35 / $698.50	Professional		$471.96	$566.35	$698.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $452.51 / $650.85 / $876.38	Facility		$452.51	$650.85	$876.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $579.00 / $666.00 / $1,127.00	Professional		$579.00	$666.00	$1,127.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $477.06 / $629.14 / $6,585.00	Facility		$477.06	$629.14	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $477.06 / $629.14 / $6,585.00	Professional		$477.06	$629.14	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $12,428.00 / $21,639.00	Facility		$6,693.00	$12,428.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.05 / $604.07 / $1,050.24	Professional		$396.05	$604.07	$1,050.24