Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.16 / $8,294.00 / $15,165.00	Facility		$902.16	$8,294.00	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.02 / $902.16 / $1,256.05	Professional		$679.02	$902.16	$1,256.05
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 $752.64 / $962.46 / $1,320.01	Professional		$752.64	$962.46	$1,320.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $951.90 / $1,493.81 / $15,962.00	Professional		$951.90	$1,493.81	$15,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $788.81 / $1,109.38 / $2,035.24	Professional		$788.81	$1,109.38	$2,035.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $769.57 / $923.48 / $1,100.21	Professional		$769.57	$923.48	$1,100.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $719.76 / $1,066.18 / $1,473.79	Facility		$719.76	$1,066.18	$1,473.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,011.00 / $1,115.00 / $1,902.10	Professional		$1,011.00	$1,115.00	$1,902.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $844.02 / $1,089.52 / $7,902.00	Facility		$844.02	$1,089.52	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $844.02 / $1,089.52 / $7,902.00	Professional		$844.02	$1,089.52	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.97 / $1,196.67 / $1,799.23	Professional		$691.97	$1,196.67	$1,799.23