Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.64 / $2,561.00 / $8,294.00	Facility		$950.64	$2,561.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.70 / $927.68 / $1,042.75	Professional		$801.70	$927.68	$1,042.75
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 $777.83 / $994.68 / $1,364.20	Professional		$777.83	$994.68	$1,364.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $907.54 / $1,338.83 / $5,895.00	Professional		$907.54	$1,338.83	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.83 / $1,123.49 / $2,067.73	Professional		$814.83	$1,123.49	$2,067.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.96 / $953.95 / $1,176.54	Professional		$794.96	$953.95	$1,176.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $921.75 / $1,123.49 / $1,672.20	Facility		$921.75	$1,123.49	$1,672.20
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,070.00 / $1,210.00 / $1,976.57	Professional		$1,070.00	$1,210.00	$1,976.57
Sentara Facility/Professional Facility Modifier Low / Median / High Price $845.61 / $1,130.42 / $6,585.00	Facility		$845.61	$1,130.42	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $845.61 / $1,130.42 / $6,585.00	Professional		$845.61	$1,130.42	$6,585.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.36 / $1,139.81 / $1,721.91	Professional		$686.36	$1,139.81	$1,721.91