Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $2,705.00 / $7,275.00	Facility		$322.55	$2,705.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.53 / $482.34 / $1,220.70	Professional		$182.53	$482.34	$1,220.70
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 $169.95 / $456.51 / $1,014.96	Professional		$169.95	$456.51	$1,014.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $273.92 / $3,774.00	Professional		$187.81	$273.92	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.80 / $487.05 / $1,793.36	Professional		$200.80	$487.05	$1,793.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.94 / $808.73 / $1,002.73	Professional		$673.94	$808.73	$1,002.73
Medcost Facility/Professional Facility Modifier Low / Median / High Price $200.09 / $673.94 / $1,305.11	Facility		$200.09	$673.94	$1,305.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $951.00 / $1,591.00	Professional		$765.00	$951.00	$1,591.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $190.32 / $253.47 / $3,512.00	Facility		$190.32	$253.47	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $680.09 / $1,005.24 / $3,512.00	Professional		$680.09	$1,005.24	$3,512.00
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 $595.28 / $1,041.74 / $2,064.46	Professional		$595.28	$1,041.74	$2,064.46