Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.31 / $4,275.00 / $21,562.00	Facility		$257.31	$4,275.00	$21,562.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $1,647.91 / $2,776.05	Professional		$142.62	$1,647.91	$2,776.05
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 $141.93 / $499.57 / $2,227.85	Professional		$141.93	$499.57	$2,227.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $221.06 / $922.00	Professional		$167.97	$221.06	$922.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $421.76 / $2,930.93	Professional		$159.91	$421.76	$2,930.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,542.58 / $1,858.51 / $2,323.14	Professional		$1,542.58	$1,858.51	$2,323.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $180.40 / $1,542.58 / $3,038.42	Facility		$180.40	$1,542.58	$3,038.42
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,082.00 / $2,658.00 / $4,940.00	Professional		$2,082.00	$2,658.00	$4,940.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $152.19 / $204.74 / $10,945.00	Facility		$152.19	$204.74	$10,945.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,719.77 / $2,605.19 / $10,945.00	Professional		$1,719.77	$2,605.19	$10,945.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,367.00 / $13,296.00 / $26,537.00	Facility		$8,367.00	$13,296.00	$26,537.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,370.18 / $2,603.17 / $3,477.71	Professional		$1,370.18	$2,603.17	$3,477.71