Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.06 / $5,412.00 / $11,425.00	Facility		$997.06	$5,412.00	$11,425.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $757.71 / $997.06 / $1,127.63	Professional		$757.71	$997.06	$1,127.63
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 $840.54 / $1,074.85 / $1,474.17	Professional		$840.54	$1,074.85	$1,474.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,034.01 / $1,158.08 / $2,016.32	Professional		$1,034.01	$1,158.08	$2,016.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $862.21 / $1,178.83 / $2,259.53	Professional		$862.21	$1,178.83	$2,259.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.24 / $1,029.89 / $1,270.20	Professional		$858.24	$1,029.89	$1,270.20
Medcost Facility/Professional Facility Modifier Low / Median / High Price $856.10 / $1,203.97 / $1,717.59	Facility		$856.10	$1,203.97	$1,717.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,121.00 / $1,248.33 / $2,124.05	Professional		$1,121.00	$1,248.33	$2,124.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $904.60 / $1,176.20 / $5,122.00	Facility		$904.60	$1,176.20	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $904.60 / $1,176.20 / $5,122.00	Professional		$904.60	$1,176.20	$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 $750.02 / $1,226.84 / $1,881.60	Professional		$750.02	$1,226.84	$1,881.60