Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,630.78 / $8,317.64	Facility		$218.78	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $1,584.89 / $2,818.38	Professional		$186.21	$1,584.89	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $977.24 / $2,570.40	Professional		$186.21	$977.24	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $1,445.44 / $3,801.89	Professional	50	$281.84	$1,445.44	$3,801.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $6,165.95 / $8,317.64	Professional		$177.83	$6,165.95	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $489.78 / $3,311.31	Professional		$186.21	$489.78	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,949.84 / $2,398.83	Professional		$151.36	$1,949.84	$2,398.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,819.70 / $3,801.89	Facility		$199.53	$1,819.70	$3,801.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $11,481.54	Facility		$165.96	$245.47	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $11,481.54	Professional		$1,778.28	$2,818.38	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,258.93 / $3,890.45	Professional		$169.82	$1,258.93	$3,890.45