Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.21 / $3,293.15 / $8,920.00	Facility		$416.21	$3,293.15	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.21 / $616.17 / $1,336.03	Professional		$193.21	$616.17	$1,336.03
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 $196.28 / $528.29 / $1,060.45	Professional		$196.28	$528.29	$1,060.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $217.35 / $317.56 / $3,774.00	Professional		$217.35	$317.56	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $563.64 / $1,786.25	Professional		$209.75	$563.64	$1,786.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $705.26 / $846.31 / $1,047.35	Professional		$705.26	$846.31	$1,047.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $231.12 / $705.26 / $1,382.13	Facility		$231.12	$705.26	$1,382.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $994.00 / $1,665.00	Professional		$802.00	$994.00	$1,665.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $197.59 / $274.66 / $3,512.00	Facility		$197.59	$274.66	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $712.42 / $1,139.47 / $3,557.74	Professional		$712.42	$1,139.47	$3,557.74
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 $627.66 / $1,115.50 / $2,031.93	Professional		$627.66	$1,115.50	$2,031.93