Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.32 / $5,087.00 / $8,920.00	Facility		$771.32	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.35 / $771.32 / $1,102.13	Professional		$595.35	$771.32	$1,102.13
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 $658.29 / $841.81 / $1,154.54	Professional		$658.29	$841.81	$1,154.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $835.15 / $976.23 / $1,699.68	Professional		$835.15	$976.23	$1,699.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $659.58 / $916.58 / $1,756.85	Professional		$659.58	$916.58	$1,756.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.06 / $806.47 / $994.65	Professional		$672.06	$806.47	$994.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $667.30 / $942.63 / $1,270.47	Facility		$667.30	$942.63	$1,270.47
Medcost Facility/Professional Professional Modifier Low / Median / High Price $921.00 / $1,006.00 / $1,664.21	Professional		$921.00	$1,006.00	$1,664.21
Sentara Facility/Professional Facility Modifier Low / Median / High Price $651.29 / $920.89 / $5,122.00	Facility		$651.29	$920.89	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $651.29 / $920.89 / $5,122.00	Professional		$651.29	$920.89	$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 $583.16 / $930.01 / $1,463.00	Professional		$583.16	$930.01	$1,463.00