Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.16 / $3,912.00 / $8,294.00	Facility		$254.16	$3,912.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.44 / $1,226.88 / $2,793.58	Professional		$236.44	$1,226.88	$2,793.58
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 $219.78 / $1,225.83 / $3,225.05	Professional		$219.78	$1,225.83	$3,225.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $367.14 / $916.00	Professional		$258.33	$367.14	$916.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.91 / $1,553.19 / $3,849.99	Professional		$257.91	$1,553.19	$3,849.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,160.75 / $2,601.44 / $3,251.81	Professional		$2,160.75	$2,601.44	$3,251.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.16 / $1,960.17 / $3,367.90	Facility		$254.16	$1,960.17	$3,367.90
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,487.23 / $2,123.00 / $3,869.00	Professional		$1,487.23	$2,123.00	$3,869.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $237.87 / $307.38 / $2,039.00	Facility		$237.87	$307.38	$2,039.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,637.84 / $2,421.16 / $5,365.91	Professional		$1,637.84	$2,421.16	$5,365.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,911.00 / $3,276.00 / $5,340.00	Facility		$1,911.00	$3,276.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,617.81 / $2,351.23 / $4,649.04	Professional		$1,617.81	$2,351.23	$4,649.04