Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.79 / $4,390.00 / $8,294.00	Facility		$577.79	$4,390.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.21 / $1,052.04 / $1,981.96	Professional		$361.21	$1,052.04	$1,981.96
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 $322.77 / $840.25 / $1,885.82	Professional		$322.77	$840.25	$1,885.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $370.26 / $469.03 / $4,284.00	Professional		$370.26	$469.03	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.04 / $902.91 / $2,463.26	Professional		$342.04	$902.91	$2,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,311.06 / $1,573.27 / $1,966.18	Professional		$1,311.06	$1,573.27	$1,966.18
Medcost Facility/Professional Facility Modifier Low / Median / High Price $393.99 / $1,311.06 / $2,538.42	Facility		$393.99	$1,311.06	$2,538.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,432.00 / $1,789.00 / $2,735.00	Professional		$1,432.00	$1,789.00	$2,735.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $421.70 / $7,420.00	Facility		$311.00	$421.70	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,322.55 / $1,840.24 / $7,420.00	Professional		$1,322.55	$1,840.24	$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 $1,206.85 / $1,987.66 / $3,188.76	Professional		$1,206.85	$1,987.66	$3,188.76