Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,398.83	Professional		$933.25	$1,148.15	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,398.83	Professional		$954.99	$1,412.54	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $12,022.64	Professional		$1,023.29	$1,479.11	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,290.87	Professional		$954.99	$1,380.38	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,258.93	Professional		$851.14	$1,047.13	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,290.87	Professional		$1,380.38	$1,737.80	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $9,549.93	Professional		$954.99	$1,412.54	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $2,290.87	Professional		$831.76	$1,318.26	$2,290.87