Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.65 / $5,087.00 / $8,920.00	Facility		$778.65	$5,087.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.50 / $778.65 / $945.34	Professional		$599.50	$778.65	$945.34
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 $662.59 / $847.31 / $1,162.08	Professional		$662.59	$847.31	$1,162.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $798.16 / $1,170.53 / $4,284.00	Professional		$798.16	$1,170.53	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.60 / $926.56 / $1,771.40	Professional		$668.60	$926.56	$1,771.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.47 / $811.76 / $1,001.18	Professional		$676.47	$811.76	$1,001.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $672.10 / $948.88 / $1,290.96	Facility		$672.10	$948.88	$1,290.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $919.01 / $1,004.00 / $1,675.10	Professional		$919.01	$1,004.00	$1,675.10
Sentara Facility/Professional Facility Modifier Low / Median / High Price $684.32 / $927.00 / $5,122.00	Facility		$684.32	$927.00	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $684.32 / $927.00 / $5,122.00	Professional		$684.32	$927.00	$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 $587.99 / $942.24 / $1,558.54	Professional		$587.99	$942.24	$1,558.54