Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $5,495.41 / $10,000.00	Facility		$630.96	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $602.56 / $1,071.52	Professional		$512.86	$602.56	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $870.96	Professional		$467.74	$616.60	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,162.28 / $4,466.84	Professional		$489.78	$3,162.28	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,202.26	Professional		$489.78	$676.08	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $630.96	Professional		$426.58	$512.86	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $1,122.02	Facility		$501.19	$724.44	$1,122.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $724.44 / $10,964.78	Facility		$478.63	$724.44	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $10,964.78	Professional		$478.63	$724.44	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,202.26	Professional		$478.63	$741.31	$1,202.26