Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.33 / $3,542.35 / $8,294.00	Facility		$309.33	$3,542.35	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.79 / $708.38 / $1,071.65	Professional		$173.79	$708.38	$1,071.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.58 / $466.25 / $1,031.33	Professional		$173.58	$466.25	$1,031.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.98 / $342.09 / $3,426.00	Professional		$218.98	$342.09	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.35 / $615.65 / $1,701.59	Professional		$206.35	$615.65	$1,701.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.23 / $840.28 / $1,040.60	Professional		$700.23	$840.28	$1,040.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $196.38 / $758.53 / $1,432.75	Facility		$196.38	$758.53	$1,432.75
Medcost Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $1,357.00 / $2,498.00	Professional		$412.70	$1,357.00	$2,498.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.37 / $259.37 / $2,039.00	Facility		$197.37	$259.37	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $936.35 / $1,274.31 / $2,220.85	Professional		$936.35	$1,274.31	$2,220.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.09 / $1,384.65 / $1,995.44	Professional		$768.09	$1,384.65	$1,995.44