Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,754.23 / $7,244.36	Facility		$363.08	$2,754.23	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $912.01 / $2,089.30	Professional		$194.98	$912.01	$2,089.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $758.58 / $1,659.59	Professional		$208.93	$758.58	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $3,890.45	Professional		$181.97	$208.93	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,698.24 / $1,905.46	Facility		$489.78	$1,698.24	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $851.14 / $2,238.72	Professional		$229.09	$851.14	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,344.23	Professional		$870.96	$1,148.15	$2,344.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,691.53	Professional		$2,187.76	$2,511.89	$2,691.53
Medcost Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $933.25 / $2,238.72	Facility		$213.80	$933.25	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $281.84 / $2,137.96	Facility		$204.17	$281.84	$2,137.96
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $5,011.87	Professional		$1,122.02	$1,737.80	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,317.64 / $17,378.01	Facility		$1,318.26	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $724.44 / $2,398.83	Professional		$194.98	$724.44	$2,398.83