Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.29 / $3,469.62 / $8,294.00	Facility		$509.29	$3,469.62	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.13 / $610.65 / $1,390.41	Professional		$273.13	$610.65	$1,390.41
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 $247.26 / $625.74 / $1,069.69	Professional		$247.26	$625.74	$1,069.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $280.91 / $391.89 / $4,284.00	Professional		$280.91	$391.89	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.11 / $662.38 / $1,414.32	Professional		$291.11	$662.38	$1,414.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.53 / $898.24 / $1,110.80	Professional		$748.53	$898.24	$1,110.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $313.18 / $812.13 / $1,454.61	Facility		$313.18	$812.13	$1,454.61
Medcost Facility/Professional Facility Modifier AS Low / Median / High Price $64.15 / $172.72 / $209.71	Facility	AS	$64.15	$172.72	$209.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $885.00 / $1,027.00 / $1,508.00	Professional		$885.00	$1,027.00	$1,508.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.44 / $365.58 / $7,420.00	Facility		$275.44	$365.58	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $778.19 / $1,080.64 / $7,420.00	Professional		$778.19	$1,080.64	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,321.00	Facility		$6,303.00	$9,373.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.17 / $1,165.33 / $1,747.63	Professional		$741.17	$1,165.33	$1,747.63