Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.92 / $4,347.00 / $8,294.00	Facility		$571.92	$4,347.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.79 / $1,067.88 / $1,557.69	Professional		$357.79	$1,067.88	$1,557.69
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 $318.88 / $806.98 / $1,490.96	Professional		$318.88	$806.98	$1,490.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $365.84 / $456.65 / $4,284.00	Professional		$365.84	$456.65	$4,284.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.95 / $893.47 / $2,133.94	Professional		$349.95	$893.47	$2,133.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,038.96 / $1,246.75 / $1,554.49	Professional		$1,038.96	$1,246.75	$1,554.49
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.33 / $1,131.00 / $2,005.95	Facility		$389.33	$1,131.00	$2,005.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,444.28 / $1,637.00 / $2,330.00	Professional		$1,444.28	$1,637.00	$2,330.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $310.35 / $437.65 / $9,929.00	Facility		$310.35	$437.65	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,132.89 / $1,673.22 / $9,929.00	Professional		$1,132.89	$1,673.22	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,029.90 / $1,669.41 / $2,583.77	Professional		$1,029.90	$1,669.41	$2,583.77