Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.05 / $1,792.00 / $9,918.00	Facility		$615.05	$1,792.00	$9,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.42 / $810.48 / $1,472.40	Professional		$361.42	$810.48	$1,472.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,032.00 / $6,548.00 / $7,221.00	Facility		$5,032.00	$6,548.00	$7,221.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $739.86 / $1,202.39	Professional		$336.60	$739.86	$1,202.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.99 / $543.60 / $5,895.00	Professional		$372.99	$543.60	$5,895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.96 / $826.12 / $1,753.14	Professional		$376.96	$826.12	$1,753.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.97 / $967.16 / $1,192.83	Professional		$805.97	$967.16	$1,192.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $394.27 / $874.03 / $1,697.96	Facility		$394.27	$874.03	$1,697.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $1,155.00 / $1,877.00	Professional		$990.00	$1,155.00	$1,877.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $358.75 / $475.33 / $3,512.00	Facility		$358.75	$475.33	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $847.69 / $1,260.31 / $4,085.96	Professional		$847.69	$1,260.31	$4,085.96
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 $720.93 / $1,259.88 / $2,005.65	Professional		$720.93	$1,259.88	$2,005.65