Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.44 / $5,087.00 / $21,562.00	Facility		$536.44	$5,087.00	$21,562.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.87 / $2,378.66 / $6,195.55	Professional		$438.87	$2,378.66	$6,195.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26,917.00 / $35,151.00 / $39,057.00	Facility		$26,917.00	$35,151.00	$39,057.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.10 / $1,395.29 / $3,551.97	Professional		$416.10	$1,395.29	$3,551.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.46 / $630.44 / $15,962.00	Professional		$467.46	$630.44	$15,962.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.57 / $1,230.67 / $5,434.14	Professional		$491.57	$1,230.67	$5,434.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,456.34 / $2,947.61 / $3,683.66	Professional		$2,456.34	$2,947.61	$3,683.66
Medcost Facility/Professional Facility Modifier Low / Median / High Price $528.15 / $2,456.34 / $5,239.42	Facility		$528.15	$2,456.34	$5,239.42
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,153.08 / $6,286.85 / $10,435.95	Facility	50	$1,153.08	$6,286.85	$10,435.95
Medcost Facility/Professional Facility Modifier 80 Low / Median / High Price $153.74 / $838.25 / $1,391.46	Facility	80	$153.74	$838.25	$1,391.46
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,333.99 / $4,944.00 / $5,754.00	Professional		$1,333.99	$4,944.00	$5,754.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $459.17 / $612.11 / $16,786.00	Facility		$459.17	$612.11	$16,786.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,960.59 / $4,004.11 / $16,786.00	Professional		$2,960.59	$4,004.11	$16,786.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,798.61 / $4,424.77 / $7,300.07	Professional		$2,798.61	$4,424.77	$7,300.07