Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $3,547.43 / $8,007.00	Facility		$378.00	$3,547.43	$8,007.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $595.97 / $1,310.66	Professional		$194.93	$595.97	$1,310.66
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 $174.34 / $446.99 / $1,003.22	Professional		$174.34	$446.99	$1,003.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $269.49 / $3,426.00	Professional		$198.12	$269.49	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.06 / $500.83 / $1,387.58	Professional		$209.06	$500.83	$1,387.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.25 / $839.10 / $1,042.75	Professional		$699.25	$839.10	$1,042.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $220.60 / $714.14 / $1,372.53	Facility		$220.60	$714.14	$1,372.53
Medcost Facility/Professional Professional Modifier Low / Median / High Price $869.00 / $1,017.00 / $1,483.00	Professional		$869.00	$1,017.00	$1,483.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.25 / $260.73 / $7,420.00	Facility		$195.25	$260.73	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $733.18 / $1,060.77 / $7,420.00	Professional		$733.18	$1,060.77	$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 $709.51 / $1,122.47 / $1,745.37	Professional		$709.51	$1,122.47	$1,745.37