Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.80 / $5,412.00 / $11,425.00	Facility		$999.80	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $759.81 / $999.80 / $1,130.33	Professional		$759.81	$999.80	$1,130.33
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 $842.69 / $1,077.60 / $1,477.94	Professional		$842.69	$1,077.60	$1,477.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,066.36 / $1,585.48 / $8,031.00	Professional		$1,066.36	$1,585.48	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.30 / $1,196.96 / $2,265.56	Professional		$882.30	$1,196.96	$2,265.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $860.78 / $1,032.94 / $1,273.95	Professional		$860.78	$1,032.94	$1,273.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $858.05 / $1,207.09 / $1,754.87	Facility		$858.05	$1,207.09	$1,754.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,188.00 / $1,281.00 / $2,129.54	Professional		$1,188.00	$1,281.00	$2,129.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $906.95 / $1,188.84 / $5,122.00	Facility		$906.95	$1,188.84	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $906.95 / $1,188.84 / $5,122.00	Professional		$906.95	$1,188.84	$5,122.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $752.02 / $1,300.45 / $2,005.60	Professional		$752.02	$1,300.45	$2,005.60