Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $3,162.28 / $5,370.32	Professional		$741.31	$3,162.28	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,905.46	Professional		$758.58	$1,122.02	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $14,454.40	Professional		$758.58	$1,174.90	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $2,187.76 / $7,079.46	Professional		$812.83	$2,187.76	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $6,025.60	Professional		$3,890.45	$5,011.87	$6,025.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $3,890.45 / $9,772.37	Professional		$1,479.11	$3,890.45	$9,772.37
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $10,000.00	Professional		$2,511.89	$5,011.87	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,949.84 / $6,760.83	Professional		$676.08	$1,949.84	$6,760.83