Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $679.93 / $5,412.00 / $21,077.00	Facility		$679.93	$5,412.00	$21,077.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.54 / $679.93 / $699.84	Professional		$569.54	$679.93	$699.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.21 / $762.42 / $1,045.65	Professional		$596.21	$762.42	$1,045.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $689.84 / $912.07 / $19,258.00	Professional		$689.84	$912.07	$19,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.82 / $865.37 / $1,551.42	Professional		$631.82	$865.37	$1,551.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.84 / $735.41 / $882.04	Professional		$612.84	$735.41	$882.04
Medcost Facility/Professional Facility Modifier Low / Median / High Price $666.13 / $790.82 / $1,182.73	Facility		$666.13	$790.82	$1,182.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $847.00 / $1,126.34 / $1,513.42	Professional		$847.00	$1,126.34	$1,513.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $643.64 / $823.86 / $7,902.00	Facility		$643.64	$823.86	$7,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $643.64 / $823.86 / $7,902.00	Professional		$643.64	$823.86	$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 $542.16 / $923.74 / $1,364.00	Professional		$542.16	$923.74	$1,364.00