Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.50 / $4,771.00 / $9,539.00	Facility		$893.50	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $683.39 / $893.50 / $1,014.16	Professional		$683.39	$893.50	$1,014.16
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 $756.02 / $966.78 / $1,325.93	Professional		$756.02	$966.78	$1,325.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $957.83 / $1,100.42 / $1,915.91	Professional		$957.83	$1,100.42	$1,915.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $786.95 / $1,056.80 / $2,026.71	Professional		$786.95	$1,056.80	$2,026.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $772.01 / $926.41 / $1,142.57	Professional		$772.01	$926.41	$1,142.57
Medcost Facility/Professional Facility Modifier Low / Median / High Price $767.70 / $1,082.28 / $1,507.15	Facility		$767.70	$1,082.28	$1,507.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $997.00 / $1,127.00 / $1,911.07	Professional		$997.00	$1,127.00	$1,911.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $814.11 / $1,062.47 / $2,070.00	Facility		$814.11	$1,062.47	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $814.11 / $1,062.47 / $2,070.00	Professional		$814.11	$1,062.47	$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 $664.73 / $1,084.79 / $1,791.69	Professional		$664.73	$1,084.79	$1,791.69