Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.26 / $5,276.22 / $15,742.00	Facility		$716.26	$5,276.22	$15,742.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.01 / $1,789.10 / $3,786.09	Professional		$373.01	$1,789.10	$3,786.09
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 $328.60 / $922.18 / $2,347.59	Professional		$328.60	$922.18	$2,347.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $368.92 / $507.24 / $9,638.00	Professional		$368.92	$507.24	$9,638.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.69 / $965.55 / $3,407.29	Professional		$376.69	$965.55	$3,407.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,624.75 / $1,949.70 / $2,429.59	Professional		$1,624.75	$1,949.70	$2,429.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $414.02 / $1,624.75 / $3,189.76	Facility		$414.02	$1,624.75	$3,189.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,193.00 / $2,676.00 / $3,308.00	Professional		$2,193.00	$2,676.00	$3,308.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $360.18 / $476.69 / $9,929.00	Facility		$360.18	$476.69	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $2,049.59 / $2,804.45 / $9,929.00	Professional		$2,049.59	$2,804.45	$9,929.00
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 $1,897.57 / $3,163.36 / $4,203.62	Professional		$1,897.57	$3,163.36	$4,203.62