Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $5,087.00 / $8,294.00	Facility		$367.50	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.29 / $192.85 / $272.10	Professional		$155.29	$192.85	$272.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $606.44 / $606.44 / $4,716.00	Professional		$606.44	$606.44	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $2,295.27 / $2,295.27	Professional		$294.77	$2,295.27	$2,295.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,578.00 / $1,694.00 / $1,694.00	Professional		$1,578.00	$1,694.00	$1,694.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $367.50 / $551.25	Facility		$367.50	$367.50	$551.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $451.35 / $477.00 / $477.00	Professional		$451.35	$477.00	$477.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4,071.00 / $8,077.00 / $10,945.00	Facility		$4,071.00	$8,077.00	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,071.00 / $8,077.00 / $10,945.00	Professional		$4,071.00	$8,077.00	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00