Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.67 / $5,048.00 / $21,077.00	Facility		$341.67	$5,048.00	$21,077.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.44 / $1,419.08 / $1,991.52	Professional		$303.44	$1,419.08	$1,991.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.41 / $735.77 / $1,873.05	Professional		$265.41	$735.77	$1,873.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.91 / $388.21 / $3,426.00	Professional		$298.91	$388.21	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $763.65 / $3,066.30	Professional		$313.02	$763.65	$3,066.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,305.04 / $1,566.05 / $1,951.56	Professional		$1,305.04	$1,566.05	$1,951.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $333.30 / $1,417.11 / $3,209.17	Facility		$333.30	$1,417.11	$3,209.17
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,072.00 / $2,439.00 / $3,458.00	Professional		$2,072.00	$2,439.00	$3,458.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $291.01 / $394.09 / $7,577.42	Facility		$291.01	$394.09	$7,577.42
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,655.29 / $2,409.88 / $7,736.83	Professional		$1,655.29	$2,409.88	$7,736.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,121.00 / $8,246.00 / $17,187.00	Facility		$5,121.00	$8,246.00	$17,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,506.72 / $2,589.37 / $3,979.91	Professional		$1,506.72	$2,589.37	$3,979.91