Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.61 / $3,355.00 / $8,294.00	Facility		$249.61	$3,355.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.57 / $1,382.01 / $2,778.38	Professional		$198.57	$1,382.01	$2,778.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.41 / $687.75 / $1,828.15	Professional		$195.41	$687.75	$1,828.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.12 / $219.60 / $403.88	Professional		$207.12	$219.60	$403.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $567.79 / $3,831.05	Professional		$204.52	$567.79	$3,831.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,274.51 / $1,529.41 / $1,910.23	Professional		$1,274.51	$1,529.41	$1,910.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $246.85 / $1,274.51 / $3,799.05	Facility		$246.85	$1,274.51	$3,799.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,721.00 / $3,350.00 / $3,912.00	Professional		$1,721.00	$3,350.00	$3,912.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $194.17 / $260.82 / $1,421.00	Facility		$194.17	$260.82	$1,421.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,274.52 / $3,082.39 / $4,979.10	Professional		$1,274.52	$3,082.39	$4,979.10
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,951.88 / $3,334.37 / $4,631.43	Professional		$1,951.88	$3,334.37	$4,631.43