Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.11 / $4,390.00 / $8,920.00	Facility		$146.11	$4,390.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.05 / $586.26 / $911.45	Professional		$122.05	$586.26	$911.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $359.69 / $856.19	Professional		$121.77	$359.69	$856.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $244.38 / $2,413.00	Professional		$161.72	$244.38	$2,413.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $505.99 / $1,420.51	Professional		$146.31	$505.99	$1,420.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.73 / $696.88 / $865.45	Professional		$580.73	$696.88	$865.45
Medcost Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $629.09 / $1,222.84	Facility		$137.91	$629.09	$1,222.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $289.54 / $1,152.00 / $2,087.00	Professional		$289.54	$1,152.00	$2,087.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $138.99 / $184.78 / $1,428.00	Facility		$138.99	$184.78	$1,428.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $782.84 / $1,082.83 / $1,895.50	Professional		$782.84	$1,082.83	$1,895.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $1,893.00 / $3,765.00	Facility		$1,066.00	$1,893.00	$3,765.00
United Facility/Professional Professional Modifier Low / Median / High Price $655.17 / $1,134.41 / $1,684.33	Professional		$655.17	$1,134.41	$1,684.33