Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.36 / $5,412.00 / $14,798.00	Facility		$536.36	$5,412.00	$14,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.93 / $1,918.31 / $3,190.19	Professional		$408.93	$1,918.31	$3,190.19
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 $417.07 / $1,155.97 / $2,942.74	Professional		$417.07	$1,155.97	$2,942.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $468.06 / $641.49 / $19,633.00	Professional		$468.06	$641.49	$19,633.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.69 / $1,216.40 / $3,863.05	Professional		$457.69	$1,216.40	$3,863.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,049.83 / $2,459.80 / $3,059.76	Professional		$2,049.83	$2,459.80	$3,059.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $528.84 / $2,049.83 / $3,765.00	Facility		$528.84	$2,049.83	$3,765.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,767.00 / $2,835.00 / $4,153.00	Professional		$2,767.00	$2,835.00	$4,153.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.92 / $589.84 / $13,902.00	Facility		$436.92	$589.84	$13,902.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,268.07 / $3,061.89 / $13,902.00	Professional		$2,268.07	$3,061.89	$13,902.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,193.32 / $3,267.64 / $5,240.28	Professional		$2,193.32	$3,267.64	$5,240.28