Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.50 / $4,771.00 / $9,539.00	Facility		$913.50	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.16 / $913.50 / $1,036.09	Professional		$698.16	$913.50	$1,036.09
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 $772.61 / $988.00 / $1,355.04	Professional		$772.61	$988.00	$1,355.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $978.87 / $1,125.09 / $1,958.87	Professional		$978.87	$1,125.09	$1,958.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $781.24 / $1,080.44 / $2,069.73	Professional		$781.24	$1,080.44	$2,069.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.00 / $946.80 / $1,167.72	Professional		$789.00	$946.80	$1,167.72
Medcost Facility/Professional Facility Modifier Low / Median / High Price $784.82 / $1,106.25 / $1,552.20	Facility		$784.82	$1,106.25	$1,552.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,032.00 / $1,152.00 / $1,953.02	Professional		$1,032.00	$1,152.00	$1,953.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $832.22 / $1,086.24 / $2,096.02	Facility		$832.22	$1,086.24	$2,096.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $832.22 / $1,086.24 / $2,096.02	Professional		$832.22	$1,086.24	$2,096.02
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 $687.02 / $1,091.85 / $1,819.36	Professional		$687.02	$1,091.85	$1,819.36