Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.88 / $4,347.00 / $8,920.00	Facility		$477.88	$4,347.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.95 / $1,221.97 / $2,656.97	Professional		$328.95	$1,221.97	$2,656.97
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 $283.88 / $794.39 / $2,022.28	Professional		$283.88	$794.39	$2,022.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $318.83 / $613.66 / $1,518.12	Professional		$318.83	$613.66	$1,518.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.98 / $824.35 / $2,770.37	Professional		$329.98	$824.35	$2,770.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,401.75 / $1,682.10 / $2,094.41	Professional		$1,401.75	$1,682.10	$2,094.41
Medcost Facility/Professional Facility Modifier Low / Median / High Price $360.71 / $1,442.37 / $2,709.89	Facility		$360.71	$1,442.37	$2,709.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,776.00 / $2,015.79 / $3,144.15	Professional		$1,776.00	$2,015.79	$3,144.15
Sentara Facility/Professional Facility Modifier Low / Median / High Price $299.99 / $406.72 / $7,469.71	Facility		$299.99	$406.72	$7,469.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,548.17 / $2,043.58 / $7,626.85	Professional		$1,548.17	$2,043.58	$7,626.85
United Facility/Professional Facility Modifier Low / Median / High Price $6,303.00 / $9,373.00 / $17,192.00	Facility		$6,303.00	$9,373.00	$17,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,482.26 / $2,329.37 / $3,477.44	Professional		$1,482.26	$2,329.37	$3,477.44