Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $743.24 / $4,771.00 / $10,767.00	Facility		$743.24	$4,771.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.55 / $743.24 / $925.13	Professional		$608.55	$743.24	$925.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.73 / $860.28 / $1,179.86	Professional		$672.73	$860.28	$1,179.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $767.63 / $986.95 / $9,638.00	Professional		$767.63	$986.95	$9,638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.34 / $957.64 / $1,729.32	Professional		$687.34	$957.64	$1,729.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.77 / $832.52 / $992.18	Professional		$693.77	$832.52	$992.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $710.54 / $839.86 / $1,299.90	Facility		$710.54	$839.86	$1,299.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $937.00 / $1,269.38 / $1,706.23	Professional		$937.00	$1,269.38	$1,706.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $725.36 / $922.30 / $7,902.00	Facility		$725.36	$922.30	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $725.36 / $922.30 / $7,902.00	Professional		$725.36	$922.30	$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 $587.25 / $1,010.08 / $1,499.73	Professional		$587.25	$1,010.08	$1,499.73