Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.91 / $4,898.00 / $10,767.00	Facility		$238.91	$4,898.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.62 / $1,815.95 / $3,145.88	Professional		$208.62	$1,815.95	$3,145.88
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 $206.49 / $1,176.02 / $3,094.02	Professional		$206.49	$1,176.02	$3,094.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $242.84 / $349.69 / $3,426.00	Professional		$242.84	$349.69	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.04 / $637.50 / $4,947.88	Professional		$209.04	$637.50	$4,947.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.12 / $2,505.17 / $3,131.46	Professional		$2,077.12	$2,505.17	$3,131.46
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.31 / $2,137.73 / $4,171.68	Facility		$231.31	$2,137.73	$4,171.68
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,458.00 / $3,161.00 / $5,023.00	Professional		$2,458.00	$3,161.00	$5,023.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $198.23 / $270.52 / $6,112.00	Facility		$198.23	$270.52	$6,112.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,085.73 / $3,196.65 / $6,459.87	Professional		$2,085.73	$3,196.65	$6,459.87
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,853.56 / $3,013.57 / $6,234.65	Professional		$1,853.56	$3,013.57	$6,234.65