Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.01 / $5,412.00 / $10,767.00	Facility		$854.01	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.69 / $767.22 / $955.47	Professional		$519.69	$767.22	$955.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.19 / $692.07 / $961.00	Professional		$541.19	$692.07	$961.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $780.53 / $1,522.03 / $6,694.00	Professional		$780.53	$1,522.03	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,058.71 / $1,058.71 / $1,058.71	Professional		$1,058.71	$1,058.71	$1,058.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.01 / $648.25 / $830.06	Professional		$551.01	$648.25	$830.06
Medcost Facility/Professional Facility Modifier Low / Median / High Price $574.38 / $905.25 / $1,365.10	Facility		$574.38	$905.25	$1,365.10
Medcost Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,055.00 / $1,296.68	Professional		$824.00	$1,055.00	$1,296.68
Sentara Facility/Professional Facility Modifier Low / Median / High Price $634.85 / $989.84 / $9,929.00	Facility		$634.85	$989.84	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $634.85 / $989.84 / $9,929.00	Professional		$634.85	$989.84	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $486.19 / $675.05 / $1,175.18	Professional		$486.19	$675.05	$1,175.18