Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.11 / $3,988.00 / $8,003.00	Facility		$412.11	$3,988.00	$8,003.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.82 / $824.19 / $1,593.94	Professional		$316.82	$824.19	$1,593.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.15 / $491.25 / $673.74	Professional		$384.15	$491.25	$673.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $533.82 / $4,284.00	Professional		$415.20	$533.82	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.01 / $803.22 / $1,700.51	Professional		$382.01	$803.22	$1,700.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.30 / $1,093.56 / $1,360.86	Professional		$911.30	$1,093.56	$1,360.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $396.48 / $809.10 / $1,555.01	Facility		$396.48	$809.10	$1,555.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $978.02 / $1,179.84 / $1,847.00	Professional		$978.02	$1,179.84	$1,847.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $304.38 / $440.90 / $2,039.00	Facility		$304.38	$440.90	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $743.73 / $1,192.61 / $2,589.92	Professional		$743.73	$1,192.61	$2,589.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $646.78 / $1,062.58 / $2,011.93	Professional		$646.78	$1,062.58	$2,011.93