Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.83 / $3,633.00 / $8,294.00	Facility		$426.83	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $1,506.08 / $2,222.90	Professional		$405.05	$1,506.08	$2,222.90
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 $378.07 / $1,017.59 / $2,260.58	Professional		$378.07	$1,017.59	$2,260.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $427.21 / $612.88 / $3,426.00	Professional		$427.21	$612.88	$3,426.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.77 / $1,328.20 / $3,300.60	Professional		$428.77	$1,328.20	$3,300.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.65 / $1,829.27 / $2,256.10	Professional		$1,275.65	$1,829.27	$2,256.10
Medcost Facility/Professional Facility Modifier Low / Median / High Price $426.83 / $1,652.78 / $3,072.05	Facility		$426.83	$1,652.78	$3,072.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $897.62 / $2,498.34 / $3,312.00	Professional		$897.62	$2,498.34	$3,312.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $388.03 / $525.12 / $4,071.00	Facility		$388.03	$525.12	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,889.22 / $2,463.21 / $4,717.02	Professional		$1,889.22	$2,463.21	$4,717.02
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 $1,631.10 / $2,626.48 / $3,899.69	Professional		$1,631.10	$2,626.48	$3,899.69