Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.52 / $2,840.00 / $8,294.00	Facility		$243.52	$2,840.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $1,624.72 / $3,032.00	Professional		$169.62	$1,624.72	$3,032.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.55 / $667.23 / $2,444.87	Professional		$189.55	$667.23	$2,444.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $212.54 / $384.36	Professional		$197.11	$212.54	$384.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.22 / $549.96 / $3,286.38	Professional		$197.22	$549.96	$3,286.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,688.90 / $2,030.42 / $2,538.03	Professional		$1,688.90	$2,030.42	$2,538.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $1,688.90 / $3,245.27	Facility		$239.07	$1,688.90	$3,245.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,280.00 / $2,444.00 / $3,451.00	Professional		$2,280.00	$2,444.00	$3,451.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $189.18 / $249.52 / $1,421.00	Facility		$189.18	$249.52	$1,421.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,367.84 / $2,443.73 / $4,778.53	Professional		$1,367.84	$2,443.73	$4,778.53
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 $1,807.12 / $2,815.30 / $4,286.64	Professional		$1,807.12	$2,815.30	$4,286.64