Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $634.72 / $5,412.00 / $10,767.00	Facility		$634.72	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.51 / $634.72 / $774.50	Professional		$487.51	$634.72	$774.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.11 / $698.36 / $957.80	Professional		$546.11	$698.36	$957.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.12 / $910.99 / $7,369.00	Professional		$660.12	$910.99	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $560.28 / $754.29 / $1,445.12	Professional		$560.28	$754.29	$1,445.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.83 / $669.40 / $825.59	Professional		$557.83	$669.40	$825.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $550.27 / $773.96 / $1,072.68	Facility		$550.27	$773.96	$1,072.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $699.00 / $797.00 / $1,371.00	Professional		$699.00	$797.00	$1,371.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $576.66 / $754.76 / $6,585.00	Facility		$576.66	$754.76	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $576.66 / $754.76 / $6,585.00	Professional		$576.66	$754.76	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.69 / $729.04 / $1,274.69	Professional		$479.69	$729.04	$1,274.69