Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.42 / $2,582.00 / $8,294.00	Facility		$184.42	$2,582.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.93 / $611.27 / $930.91	Professional		$169.93	$611.27	$930.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,060.00 / $3,693.00 / $4,290.00	Facility		$3,060.00	$3,693.00	$4,290.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.07 / $438.17 / $1,016.32	Professional		$158.07	$438.17	$1,016.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.86 / $275.30 / $2,315.00	Professional		$184.86	$275.30	$2,315.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $472.97 / $1,367.82	Professional		$185.59	$472.97	$1,367.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.01 / $826.81 / $1,027.88	Professional		$689.01	$826.81	$1,027.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $184.42 / $747.15 / $1,300.74	Facility		$184.42	$747.15	$1,300.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.00 / $999.00 / $1,537.65	Professional		$851.00	$999.00	$1,537.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.21 / $233.54 / $3,512.00	Facility		$173.21	$233.54	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $788.74 / $1,022.02 / $3,527.65	Professional		$788.74	$1,022.02	$3,527.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,349.00 / $7,061.00 / $12,739.00	Facility		$4,349.00	$7,061.00	$12,739.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.14 / $1,090.75 / $1,592.86	Professional		$612.14	$1,090.75	$1,592.86