Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.94 / $5,412.00 / $16,733.00	Facility		$881.94	$5,412.00	$16,733.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.62 / $881.94 / $1,151.16	Professional		$723.62	$881.94	$1,151.16
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 $797.20 / $1,019.44 / $1,398.16	Professional		$797.20	$1,019.44	$1,398.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $914.29 / $1,251.00 / $19,258.00	Professional		$914.29	$1,251.00	$19,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.64 / $1,134.10 / $2,052.14	Professional		$815.64	$1,134.10	$2,052.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.96 / $986.35 / $1,174.31	Professional		$821.96	$986.35	$1,174.31
Medcost Facility/Professional Facility Modifier Low / Median / High Price $842.59 / $996.59 / $1,542.54	Facility		$842.59	$996.59	$1,542.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,110.00 / $1,504.93 / $2,021.26	Professional		$1,110.00	$1,504.93	$2,021.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $859.97 / $1,094.42 / $7,902.00	Facility		$859.97	$1,094.42	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $859.97 / $1,094.42 / $7,902.00	Professional		$859.97	$1,094.42	$7,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.25 / $1,198.64 / $1,779.69	Professional		$700.25	$1,198.64	$1,779.69