Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,630.27 / $8,317.64	Facility		$223.87	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,412.54 / $2,398.83	Professional		$177.83	$1,412.54	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $1,412.54 / $2,818.38	Professional		$181.97	$1,412.54	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $954.99	Professional		$194.98	$295.12	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $512.86 / $3,235.94	Professional		$199.53	$512.86	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $2,089.30 / $2,570.40	Professional		$154.88	$2,089.30	$2,570.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,698.24 / $3,388.44	Facility		$181.97	$1,698.24	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $2,454.71	Facility		$177.83	$263.03	$2,454.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $7,413.10	Professional		$1,288.25	$2,238.72	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,202.26 / $2,454.71	Facility		$229.09	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $1,258.93 / $3,311.31	Professional		$165.96	$1,258.93	$3,311.31