Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.76 / $4,703.00 / $8,925.00	Facility		$839.76	$4,703.00	$8,925.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $1,034.85 / $1,999.42	Professional		$306.45	$1,034.85	$1,999.42
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 $301.06 / $761.89 / $1,625.22	Professional		$301.06	$761.89	$1,625.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $344.03 / $459.34 / $4,284.00	Professional		$344.03	$459.34	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.12 / $850.38 / $2,246.78	Professional		$332.12	$850.38	$2,246.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,128.36 / $1,354.04 / $1,687.00	Professional		$1,128.36	$1,354.04	$1,687.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.75 / $1,191.98 / $2,290.91	Facility		$372.75	$1,191.98	$2,290.91
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,498.00 / $1,758.00 / $2,395.00	Professional		$1,498.00	$1,758.00	$2,395.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $306.05 / $418.16 / $7,420.00	Facility		$306.05	$418.16	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,317.70 / $1,739.42 / $7,420.00	Professional		$1,317.70	$1,739.42	$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 $1,140.60 / $1,899.95 / $2,813.08	Professional		$1,140.60	$1,899.95	$2,813.08