Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.91 / $1,828.27 / $8,294.00	Facility		$196.91	$1,828.27	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $721.94 / $1,458.98	Professional		$172.78	$721.94	$1,458.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $449.40 / $1,081.13	Professional		$164.30	$449.40	$1,081.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $246.45 / $674.11 / $1,621.69	Professional	50	$246.45	$674.11	$1,621.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.19 / $271.51 / $916.00	Professional		$194.19	$271.51	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $475.22 / $1,392.94	Professional		$191.27	$475.22	$1,392.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.36 / $908.83 / $1,130.70	Professional		$757.36	$908.83	$1,130.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $207.86 / $757.36 / $1,452.73	Facility		$207.86	$757.36	$1,452.73
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $455.30 / $701.39 / $2,525.73	Facility	50	$455.30	$701.39	$2,525.73
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,051.00 / $1,181.86 / $1,621.00	Professional		$1,051.00	$1,181.86	$1,621.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $171.26 / $238.16 / $1,263.41	Facility		$171.26	$238.16	$1,263.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $757.67 / $1,078.75 / $2,186.79	Professional		$757.67	$1,078.75	$2,186.79
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 $750.93 / $1,204.67 / $1,827.88	Professional		$750.93	$1,204.67	$1,827.88