Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.53 / $1,938.00 / $8,294.00	Facility		$194.53	$1,938.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $700.08 / $1,415.68	Professional		$152.63	$700.08	$1,415.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $406.70 / $1,035.34	Professional		$147.44	$406.70	$1,035.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $242.49 / $916.00	Professional		$174.31	$242.49	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $430.95 / $1,510.41	Professional		$173.00	$430.95	$1,510.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.54 / $871.85 / $1,085.58	Professional		$726.54	$871.85	$1,085.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $188.26 / $726.54 / $1,587.26	Facility		$188.26	$726.54	$1,587.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,020.00 / $1,169.00 / $1,654.00	Professional		$1,020.00	$1,169.00	$1,654.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $153.02 / $213.10 / $1,263.41	Facility		$153.02	$213.10	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $750.65 / $1,113.70 / $2,152.92	Professional		$750.65	$1,113.70	$2,152.92
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.43 / $1,240.65 / $1,889.28	Professional		$801.43	$1,240.65	$1,889.28