Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $3,991.00 / $8,920.00	Facility		$233.36	$3,991.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $233.36 / $3,637.47	Professional		$54.61	$233.36	$3,637.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $66.02 / $91.67	Professional		$50.98	$66.02	$91.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $66.12 / $76.04	Professional		$61.48	$66.12	$76.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.73 / $96.73 / $96.73	Facility		$96.73	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.51 / $263.51 / $14,295.40	Professional		$263.51	$263.51	$14,295.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,328.47 / $7,312.35 / $8,514.66	Professional		$6,328.47	$7,312.35	$8,514.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $53.86 / $233.36 / $5,456.21	Facility		$53.86	$233.36	$5,456.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $3,286.00 / $4,740.89	Professional		$132.43	$3,286.00	$4,740.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $57.88 / $87.37 / $9,929.00	Facility		$57.88	$87.37	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $982.00 / $2,773.47 / $9,929.00	Professional		$982.00	$2,773.47	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,628.94 / $2,199.06 / $3,612.04	Professional		$1,628.94	$2,199.06	$3,612.04