Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.57 / $3,832.00 / $8,294.00	Facility		$187.57	$3,832.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,382.79 / $2,187.23	Professional		$142.43	$1,382.79	$2,187.23
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 $144.21 / $507.55 / $1,776.21	Professional		$144.21	$507.55	$1,776.21
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $216.32 / $761.32 / $2,664.31	Professional	50	$216.32	$761.32	$2,664.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.20 / $212.38 / $3,426.00	Professional		$176.20	$212.38	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $420.00 / $2,891.49	Professional		$157.94	$420.00	$2,891.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,219.22 / $1,466.64 / $1,833.30	Professional		$1,219.22	$1,466.64	$1,833.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $179.19 / $1,323.45 / $2,739.48	Facility		$179.19	$1,323.45	$2,739.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $343.34 / $2,308.86 / $3,083.00	Professional		$343.34	$2,308.86	$3,083.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $155.29 / $207.22 / $7,288.00	Facility		$155.29	$207.22	$7,288.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,561.15 / $2,207.53 / $7,420.00	Professional		$1,561.15	$2,207.53	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $2,827.00 / $5,764.00	Facility		$1,629.00	$2,827.00	$5,764.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,536.22 / $2,423.06 / $3,596.32	Professional		$1,536.22	$2,423.06	$3,596.32