Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $5,091.00 / $8,920.00	Facility		$656.25	$5,091.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $656.25 / $656.25	Professional		$53.91	$656.25	$656.25
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 $163.89 / $203.52 / $287.16	Professional		$163.89	$203.52	$287.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $746.49 / $746.49 / $4,716.00	Professional		$746.49	$746.49	$4,716.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $3,365.79 / $3,365.79	Professional		$526.41	$3,365.79	$3,365.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,237.00 / $2,401.00 / $2,401.00	Professional		$2,237.00	$2,401.00	$2,401.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $656.25 / $984.38	Facility		$656.25	$656.25	$984.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $806.07 / $853.00 / $853.00	Professional		$806.07	$853.00	$853.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $587.98 / $5,122.00 / $10,320.00	Facility		$587.98	$5,122.00	$10,320.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $587.98 / $5,122.00 / $10,320.00	Professional		$587.98	$5,122.00	$10,320.00
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