Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.83 / $3,633.00 / $8,294.00	Facility		$311.83	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.38 / $858.44 / $1,740.67	Professional		$279.38	$858.44	$1,740.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.66 / $1,003.38 / $1,970.49	Professional		$250.66	$1,003.38	$1,970.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.93 / $272.35 / $3,231.00	Professional		$270.93	$272.35	$3,231.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.22 / $716.30 / $2,468.48	Professional		$295.22	$716.30	$2,468.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,178.68 / $1,414.41 / $1,733.35	Professional		$1,178.68	$1,414.41	$1,733.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $308.61 / $1,425.65 / $2,504.48	Facility		$308.61	$1,425.65	$2,504.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,676.00 / $1,921.81 / $2,941.85	Professional		$1,676.00	$1,921.81	$2,941.85
Sentara Facility/Professional Facility Modifier Low / Median / High Price $271.83 / $376.16 / $1,325.85	Facility		$271.83	$376.16	$1,325.85
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,432.43 / $1,955.27 / $3,301.29	Professional		$1,432.43	$1,955.27	$3,301.29
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,270.00 / $17,192.00	Facility		$6,303.00	$9,270.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.18 / $1,859.91 / $3,082.63	Professional		$474.18	$1,859.91	$3,082.63