Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $2,063.05 / $8,294.00	Facility		$68.67	$2,063.05	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $775.06 / $1,615.47	Professional		$54.03	$775.06	$1,615.47
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 $49.17 / $443.36 / $1,166.45	Professional		$49.17	$443.36	$1,166.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.35 / $60.93 / $106.08	Professional		$54.35	$60.93	$106.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.84 / $145.68 / $1,810.97	Professional		$60.84	$145.68	$1,810.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.12 / $939.75 / $1,174.69	Professional		$779.12	$939.75	$1,174.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $58.37 / $779.12 / $1,523.63	Facility		$58.37	$779.12	$1,523.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $116.40 / $1,264.00 / $2,294.00	Professional		$116.40	$1,264.00	$2,294.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $56.69 / $79.89 / $1,078.71	Facility		$56.69	$79.89	$1,078.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $938.01 / $1,239.21 / $2,257.46	Professional		$938.01	$1,239.21	$2,257.46
United Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $1,045.00 / $2,364.00	Facility		$296.00	$1,045.00	$2,364.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.66 / $1,404.23 / $2,147.31	Professional		$856.66	$1,404.23	$2,147.31