Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.34 / $5,091.00 / $9,539.00	Facility		$772.34	$5,091.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $610.26 / $765.02 / $951.39	Professional		$610.26	$765.02	$951.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $643.53 / $822.94 / $1,128.66	Professional		$643.53	$822.94	$1,128.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $755.54 / $1,114.95 / $4,284.00	Professional		$755.54	$1,114.95	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $687.19 / $904.11 / $1,679.70	Professional		$687.19	$904.11	$1,679.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.37 / $786.44 / $969.95	Professional		$655.37	$786.44	$969.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $763.98 / $926.21 / $1,307.35	Facility		$763.98	$926.21	$1,307.35
Medcost Facility/Professional Professional Modifier Low / Median / High Price $847.88 / $972.00 / $1,636.18	Professional		$847.88	$972.00	$1,636.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $689.45 / $905.41 / $3,512.00	Facility		$689.45	$905.41	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $689.45 / $905.41 / $3,512.00	Professional		$689.45	$905.41	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $557.54 / $886.25 / $1,484.92	Professional		$557.54	$886.25	$1,484.92