Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.51 / $5,587.00 / $14,187.00	Facility		$921.51	$5,587.00	$14,187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.15 / $921.51 / $1,382.09	Professional		$705.15	$921.51	$1,382.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.91 / $998.61 / $1,369.59	Professional		$780.91	$998.61	$1,369.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $939.28 / $1,414.37 / $9,211.00	Professional		$939.28	$1,414.37	$9,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $827.95 / $1,196.32 / $2,093.64	Professional		$827.95	$1,196.32	$2,093.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.46 / $956.95 / $1,180.24	Professional		$797.46	$956.95	$1,180.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $760.67 / $1,117.38 / $1,509.74	Facility		$760.67	$1,117.38	$1,509.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,022.00 / $1,303.00 / $1,973.76	Professional		$1,022.00	$1,303.00	$1,973.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $944.89 / $1,209.78 / $7,902.00	Facility		$944.89	$1,209.78	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $944.89 / $1,209.78 / $7,902.00	Professional		$944.89	$1,209.78	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $12,407.00 / $26,537.00	Facility		$7,408.00	$12,407.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.72 / $1,205.35 / $1,850.88	Professional		$732.72	$1,205.35	$1,850.88