Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $897.51 / $5,087.00 / $8,925.00	Facility		$897.51	$5,087.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.45 / $814.58 / $1,420.11	Professional		$728.45	$814.58	$1,420.11
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 $760.94 / $973.07 / $1,334.56	Professional		$760.94	$973.07	$1,334.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $968.53 / $1,097.66 / $1,911.10	Professional		$968.53	$1,097.66	$1,911.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.28 / $1,041.90 / $2,007.97	Professional		$792.28	$1,041.90	$2,007.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.47 / $917.36 / $1,131.42	Professional		$764.47	$917.36	$1,131.42
Medcost Facility/Professional Facility Modifier Low / Median / High Price $814.58 / $1,075.83 / $1,490.68	Facility		$814.58	$1,075.83	$1,490.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $985.00 / $1,129.00 / $1,893.67	Professional		$985.00	$1,129.00	$1,893.67
Sentara Facility/Professional Facility Modifier Low / Median / High Price $774.73 / $1,067.22 / $5,122.00	Facility		$774.73	$1,067.22	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $774.73 / $1,067.22 / $5,122.00	Professional		$774.73	$1,067.22	$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 $666.52 / $1,022.61 / $1,736.21	Professional		$666.52	$1,022.61	$1,736.21