Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.98 / $5,743.00 / $12,247.66	Facility		$185.98	$5,743.00	$12,247.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $222.48 / $8,026.38	Professional		$84.81	$222.48	$8,026.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $293.11 / $5,473.45	Professional		$83.28	$293.11	$5,473.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $90.08 / $147.96 / $4,284.00	Professional		$90.08	$147.96	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.35 / $244.58 / $8,352.56	Professional		$93.35	$244.58	$8,352.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,741.70 / $4,527.74 / $5,659.68	Professional		$3,741.70	$4,527.74	$5,659.68
Medcost Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $4,057.68 / $8,446.23	Facility		$105.56	$4,057.68	$8,446.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $197.83 / $5,425.00 / $9,253.00	Professional		$197.83	$5,425.00	$9,253.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $91.33 / $121.18 / $13,902.00	Facility		$91.33	$121.18	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4,846.18 / $6,799.04 / $16,786.00	Professional		$4,846.18	$6,799.04	$16,786.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,677.13 / $7,336.22 / $10,953.21	Professional		$4,677.13	$7,336.22	$10,953.21