Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.22 / $3,832.00 / $8,294.00	Facility		$145.22	$3,832.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,261.83 / $2,089.86	Professional		$111.92	$1,261.83	$2,089.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $398.05 / $1,682.44	Professional		$113.10	$398.05	$1,682.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $169.65 / $597.08 / $2,523.66	Professional	50	$169.65	$597.08	$2,523.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.62 / $167.09 / $3,426.00	Professional		$138.62	$167.09	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.99 / $327.33 / $2,606.19	Professional		$123.99	$327.33	$2,606.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,162.04 / $1,399.77 / $1,749.71	Professional		$1,162.04	$1,399.77	$1,749.71
Medcost Facility/Professional Facility Modifier Low / Median / High Price $140.83 / $1,261.24 / $2,541.23	Facility		$140.83	$1,261.24	$2,541.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $269.33 / $2,209.92 / $2,779.00	Professional		$269.33	$2,209.92	$2,779.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $161.51 / $7,026.86	Facility		$121.94	$161.51	$7,026.86
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,480.89 / $2,080.83 / $7,174.68	Professional		$1,480.89	$2,080.83	$7,174.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,409.21 / $2,259.03 / $3,239.69	Professional		$1,409.21	$2,259.03	$3,239.69