Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,819.70 / $3,235.94	Professional		$398.11	$1,819.70	$3,235.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,548.82 / $3,467.37	Professional		$436.52	$1,548.82	$3,467.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $5,370.32	Professional		$389.05	$489.78	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,023.29 / $3,801.89	Professional		$446.68	$1,023.29	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,884.03	Professional		$1,862.09	$2,238.72	$2,884.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $10,000.00	Professional		$1,995.26	$2,951.21	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,584.89 / $4,168.69	Professional		$407.38	$1,584.89	$4,168.69