Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,128.61 / $8,912.51	Facility		$776.25	$5,128.61	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,318.26	Professional		$616.60	$758.58	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,258.93	Professional		$660.69	$891.25	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $4,365.16	Professional		$724.44	$1,047.13	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,479.11	Professional		$630.96	$851.14	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,949.84	Professional		$602.56	$758.58	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,659.59	Professional		$758.58	$1,023.29	$1,659.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,412.54	Facility		$707.95	$933.25	$1,412.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $8,709.64	Facility		$616.60	$912.01	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $8,709.64	Professional		$616.60	$912.01	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $870.96 / $1,412.54	Professional		$524.81	$870.96	$1,412.54