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 / $8,294.00	Facility		$656.25	$5,091.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $656.25 / $1,377.86	Professional		$656.25	$656.25	$1,377.86
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 $160.74 / $199.61 / $281.64	Professional		$160.74	$199.61	$281.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,036.38 / $1,036.38 / $4,284.00	Professional		$1,036.38	$1,036.38	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $3,468.63 / $3,468.63	Professional		$526.41	$3,468.63	$3,468.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,052.00 / $3,277.00 / $3,277.00	Professional		$3,052.00	$3,277.00	$3,277.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $656.25 / $1,200.94	Facility		$656.25	$656.25	$1,200.94
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