Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.02 / $4,771.00 / $9,539.00	Facility		$848.02	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $632.54 / $848.02 / $938.99	Professional		$632.54	$848.02	$938.99
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 $707.15 / $904.29 / $1,240.23	Professional		$707.15	$904.29	$1,240.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $850.23 / $1,162.08 / $7,369.00	Professional		$850.23	$1,162.08	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.21 / $1,002.21 / $1,883.98	Professional		$725.21	$1,002.21	$1,883.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $730.84 / $877.01 / $1,081.64	Professional		$730.84	$877.01	$1,081.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $714.77 / $1,016.21 / $1,433.15	Facility		$714.77	$1,016.21	$1,433.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $939.00 / $1,060.00 / $1,798.39	Professional		$939.00	$1,060.00	$1,798.39
Sentara Facility/Professional Facility Modifier Low / Median / High Price $773.80 / $999.79 / $5,122.00	Facility		$773.80	$999.79	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $773.80 / $999.79 / $5,122.00	Professional		$773.80	$999.79	$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 $625.36 / $999.35 / $1,704.02	Professional		$625.36	$999.35	$1,704.02