Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.01 / $4,771.00 / $8,920.00	Facility		$218.01	$4,771.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,611.86 / $2,698.76	Professional		$166.05	$1,611.86	$2,698.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.46 / $599.94 / $2,168.87	Professional		$170.46	$599.94	$2,168.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $255.69 / $899.91 / $3,253.30	Professional	50	$255.69	$899.91	$3,253.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $235.22 / $8,031.00	Professional		$195.15	$235.22	$8,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $489.25 / $3,307.53	Professional		$184.14	$489.25	$3,307.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,503.24 / $1,809.07 / $2,261.34	Professional		$1,503.24	$1,809.07	$2,261.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $209.00 / $1,631.71 / $3,237.90	Facility		$209.00	$1,631.71	$3,237.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $405.36 / $2,941.69 / $3,496.00	Professional		$405.36	$2,941.69	$3,496.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $180.82 / $241.40 / $9,929.00	Facility		$180.82	$241.40	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,917.53 / $2,724.81 / $9,929.00	Professional		$1,917.53	$2,724.81	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,770.36 / $2,950.26 / $4,339.04	Professional		$1,770.36	$2,950.26	$4,339.04