Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.08 / $4,771.00 / $9,539.00	Facility		$862.08	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.43 / $862.08 / $1,047.22	Professional		$663.43	$862.08	$1,047.22
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 $733.58 / $938.09 / $1,286.58	Professional		$733.58	$938.09	$1,286.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $929.90 / $1,066.80 / $1,857.38	Professional		$929.90	$1,066.80	$1,857.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.57 / $1,023.77 / $1,963.22	Professional		$767.57	$1,023.77	$1,963.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $749.63 / $899.56 / $1,109.45	Professional		$749.63	$899.56	$1,109.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $744.36 / $1,050.28 / $1,457.59	Facility		$744.36	$1,050.28	$1,457.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,012.73 / $1,121.00 / $1,854.60	Professional		$1,012.73	$1,121.00	$1,854.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $789.73 / $1,026.05 / $2,070.00	Facility		$789.73	$1,026.05	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $789.73 / $1,026.05 / $2,070.00	Professional		$789.73	$1,026.05	$2,070.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $1,067.38 / $1,735.57	Professional		$651.66	$1,067.38	$1,735.57