Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.66 / $5,412.00 / $11,024.00	Facility		$898.66	$5,412.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.98 / $814.26 / $1,116.03	Professional		$728.98	$814.26	$1,116.03
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 $761.24 / $973.46 / $1,335.10	Professional		$761.24	$973.46	$1,335.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $968.59 / $1,098.18 / $1,912.01	Professional		$968.59	$1,098.18	$1,912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $783.80 / $1,042.94 / $2,010.45	Professional		$783.80	$1,042.94	$2,010.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $764.68 / $917.62 / $1,131.73	Professional		$764.68	$917.62	$1,131.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $814.26 / $1,076.67 / $1,506.03	Facility		$814.26	$1,076.67	$1,506.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $989.00 / $1,129.00 / $1,894.18	Professional		$989.00	$1,129.00	$1,894.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $775.37 / $1,068.58 / $5,122.00	Facility		$775.37	$1,068.58	$5,122.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $775.37 / $1,068.58 / $5,122.00	Professional		$775.37	$1,068.58	$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 $667.34 / $1,089.45 / $1,674.20	Professional		$667.34	$1,089.45	$1,674.20