Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.95 / $4,691.00 / $8,920.00	Facility		$728.95	$4,691.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.47 / $914.91 / $1,567.37	Professional		$295.47	$914.91	$1,567.37
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 $267.36 / $676.60 / $1,476.43	Professional		$267.36	$676.60	$1,476.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $305.39 / $395.56 / $5,354.00	Professional		$305.39	$395.56	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.62 / $740.79 / $1,970.11	Professional		$310.62	$740.79	$1,970.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,232.23 / $1,478.92 / $1,848.65	Professional		$1,232.23	$1,478.92	$1,848.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $332.62 / $1,192.65 / $2,015.58	Facility		$332.62	$1,192.65	$2,015.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,327.00 / $1,557.00 / $2,083.00	Professional		$1,327.00	$1,557.00	$2,083.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $280.06 / $373.15 / $7,420.00	Facility		$280.06	$373.15	$7,420.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,167.58 / $1,539.80 / $7,420.00	Professional		$1,167.58	$1,539.80	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,737.00 / $9,373.00 / $17,321.00	Facility		$5,737.00	$9,373.00	$17,321.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,016.18 / $1,571.79 / $2,392.08	Professional		$1,016.18	$1,571.79	$2,392.08