Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.34 / $3,645.00 / $8,294.00	Facility		$557.34	$3,645.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.10 / $790.35 / $1,924.66	Professional		$348.10	$790.35	$1,924.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,266.00 / $8,669.00 / $11,373.00	Facility		$6,266.00	$8,669.00	$11,373.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.10 / $787.30 / $1,502.84	Professional		$311.10	$787.30	$1,502.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $357.05 / $466.61 / $6,694.00	Professional		$357.05	$466.61	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $807.39 / $1,900.06	Professional		$336.86	$807.39	$1,900.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.05 / $1,256.46 / $1,567.39	Professional		$1,047.05	$1,256.46	$1,567.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $378.63 / $1,047.05 / $1,775.09	Facility		$378.63	$1,047.05	$1,775.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,056.00 / $1,289.00 / $2,078.25	Professional		$1,056.00	$1,289.00	$2,078.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $417.12 / $9,929.00	Facility		$302.83	$417.12	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $959.45 / $1,378.07 / $9,929.00	Professional		$959.45	$1,378.07	$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 $848.43 / $1,435.18 / $2,279.02	Professional		$848.43	$1,435.18	$2,279.02