Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $3,235.94 / $15,488.17	Facility		$288.40	$3,235.94	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $891.25 / $2,089.30	Professional		$234.42	$891.25	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $812.83 / $1,819.70	Professional		$245.47	$812.83	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $7,585.78 / $10,000.00	Professional		$251.19	$7,585.78	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $660.69 / $2,089.30	Professional		$234.42	$660.69	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,412.54 / $1,737.80	Professional		$204.17	$1,412.54	$1,737.80
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,174.90 / $2,398.83	Facility		$275.42	$1,174.90	$2,398.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $316.23 / $11,481.54	Facility		$218.78	$316.23	$11,481.54
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $11,481.54	Professional		$1,174.90	$1,659.59	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $707.95 / $2,398.83	Professional		$223.87	$707.95	$2,398.83