Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.95 / $4,161.00 / $8,920.00	Facility		$665.95	$4,161.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.34 / $850.66 / $2,140.27	Professional		$417.34	$850.66	$2,140.27
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 $371.70 / $940.66 / $1,603.65	Professional		$371.70	$940.66	$1,603.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $388.88 / $468.73 / $5,354.00	Professional		$388.88	$468.73	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.27 / $973.96 / $2,189.44	Professional		$399.27	$973.96	$2,189.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,117.83 / $1,341.40 / $1,670.23	Professional		$1,117.83	$1,341.40	$1,670.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $455.33 / $1,217.43 / $2,302.42	Facility		$455.33	$1,217.43	$2,302.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,243.00 / $1,709.00 / $2,418.00	Professional		$1,243.00	$1,709.00	$2,418.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $358.14 / $493.54 / $7,420.00	Facility		$358.14	$493.54	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,246.92 / $1,725.33 / $7,420.00	Professional		$1,246.92	$1,725.33	$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 $1,083.86 / $1,865.89 / $2,862.38	Professional		$1,083.86	$1,865.89	$2,862.38