Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.12 / $5,377.06 / $15,165.00	Facility		$524.12	$5,377.06	$15,165.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.87 / $1,692.51 / $3,068.76	Professional		$443.87	$1,692.51	$3,068.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,955.00 / $11,210.00 / $17,424.00	Facility		$8,955.00	$11,210.00	$17,424.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.70 / $1,029.25 / $2,212.01	Professional		$406.70	$1,029.25	$2,212.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.77 / $631.29 / $6,694.00	Professional		$457.77	$631.29	$6,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.71 / $1,189.08 / $3,705.31	Professional		$474.71	$1,189.08	$3,705.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,545.30 / $1,854.36 / $2,302.19	Professional		$1,545.30	$1,854.36	$2,302.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $520.29 / $1,678.87 / $3,978.23	Facility		$520.29	$1,678.87	$3,978.23
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,127.69 / $4,471.42 / $7,557.06	Facility	50	$1,127.69	$4,471.42	$7,557.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,734.00 / $3,120.00 / $4,289.00	Professional		$2,734.00	$3,120.00	$4,289.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $439.07 / $602.03 / $9,929.00	Facility		$439.07	$602.03	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,999.90 / $2,979.76 / $9,929.00	Professional		$1,999.90	$2,979.76	$9,929.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $12,350.00 / $26,537.00	Facility		$7,408.00	$12,350.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,814.41 / $3,231.37 / $4,711.60	Professional		$1,814.41	$3,231.37	$4,711.60