Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.88 / $6,827.70 / $14,796.00	Facility		$869.88	$6,827.70	$14,796.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $705.87 / $816.05 / $1,549.26	Professional		$705.87	$816.05	$1,549.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,525.00 / $11,065.00 / $12,418.00	Facility		$8,525.00	$11,065.00	$12,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $738.20 / $943.99 / $1,294.68	Professional		$738.20	$943.99	$1,294.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $892.61 / $1,257.80 / $11,515.00	Professional		$892.61	$1,257.80	$11,515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.38 / $1,011.52 / $1,948.10	Professional		$760.38	$1,011.52	$1,948.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.83 / $890.20 / $1,097.91	Professional		$741.83	$890.20	$1,097.91
Medcost Facility/Professional Facility Modifier Low / Median / High Price $790.44 / $1,044.46 / $1,446.51	Facility		$790.44	$1,044.46	$1,446.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $957.00 / $1,091.00 / $1,837.13	Professional		$957.00	$1,091.00	$1,837.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $719.64 / $1,034.38 / $7,902.00	Facility		$719.64	$1,034.38	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $719.64 / $1,034.38 / $7,902.00	Professional		$719.64	$1,034.38	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.65 / $1,050.93 / $1,722.21	Professional		$646.65	$1,050.93	$1,722.21