Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.68 / $5,412.00 / $11,425.00	Facility		$874.68	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $670.21 / $874.68 / $1,409.71	Professional		$670.21	$874.68	$1,409.71
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 $740.35 / $946.74 / $1,298.45	Professional		$740.35	$946.74	$1,298.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $938.14 / $1,107.14 / $1,927.61	Professional		$938.14	$1,107.14	$1,927.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.03 / $1,036.19 / $1,984.53	Professional		$736.03	$1,036.19	$1,984.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.03 / $907.24 / $1,118.92	Professional		$756.03	$907.24	$1,118.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $751.99 / $1,060.49 / $1,432.55	Facility		$751.99	$1,060.49	$1,432.55
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,012.00 / $1,131.65 / $1,871.62	Professional		$1,012.00	$1,131.65	$1,871.62
Sentara Facility/Professional Facility Modifier Low / Median / High Price $795.67 / $1,040.08 / $2,070.00	Facility		$795.67	$1,040.08	$2,070.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $795.67 / $1,040.08 / $2,070.00	Professional		$795.67	$1,040.08	$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 $658.74 / $1,047.84 / $1,737.42	Professional		$658.74	$1,047.84	$1,737.42