Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,365.16 / $8,912.51	Facility		$575.44	$4,365.16	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $891.25 / $2,137.96	Professional		$346.74	$891.25	$2,137.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $8,709.64 / $12,022.64	Facility		$6,918.31	$8,709.64	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,071.52 / $2,238.72	Professional		$354.81	$1,071.52	$2,238.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $3,311.31 / $4,466.84	Professional		$363.08	$3,311.31	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $912.01 / $2,511.89	Professional		$338.84	$912.01	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,862.09 / $2,290.87	Professional		$302.00	$1,862.09	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,715.35	Professional		$1,737.80	$2,187.76	$3,715.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,445.44 / $2,691.53	Facility		$389.05	$1,445.44	$2,691.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $10,000.00	Facility		$302.00	$446.68	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $10,000.00	Professional		$1,288.25	$1,949.84	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $10,000.00 / $19,952.62	Facility		$5,623.41	$10,000.00	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,000.00 / $2,691.53	Professional		$316.23	$1,000.00	$2,691.53