Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $3,630.78 / $8,317.64	Facility		$144.54	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $549.54 / $912.01	Professional		$112.20	$549.54	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $501.19 / $1,000.00	Professional		$131.83	$501.19	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $2,511.89	Professional		$158.49	$239.88	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $501.19 / $1,348.96	Professional		$144.54	$501.19	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $741.31 / $1,905.46	Professional		$102.33	$741.31	$1,905.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $575.44 / $1,258.93	Facility		$123.03	$575.44	$1,258.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $181.97 / $3,311.31	Facility		$120.23	$181.97	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $3,715.35	Professional		$724.44	$1,096.48	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $3,981.07	Facility		$1,096.48	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $380.19 / $1,479.11	Professional		$117.49	$380.19	$1,479.11