Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.50 / $5,087.00 / $9,539.00	Facility		$486.50	$5,087.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.50 / $1,493.55 / $2,026.17	Professional		$386.50	$1,493.55	$2,026.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $456.72 / $1,226.78 / $2,261.48	Professional		$456.72	$1,226.78	$2,261.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $514.90 / $707.75 / $7,369.00	Professional		$514.90	$707.75	$7,369.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.71 / $1,502.77 / $3,317.03	Professional		$488.71	$1,502.77	$3,317.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,498.05 / $1,797.66 / $2,235.34	Professional		$1,498.05	$1,797.66	$2,235.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $486.50 / $1,496.77 / $3,310.04	Facility		$486.50	$1,496.77	$3,310.04
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,224.00 / $2,620.00 / $3,814.80	Professional		$2,224.00	$2,620.00	$3,814.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $462.18 / $594.32 / $6,585.00	Facility		$462.18	$594.32	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,907.95 / $2,512.50 / $7,822.91	Professional		$1,907.95	$2,512.50	$7,822.91
United Facility/Professional Facility Modifier Low / Median / High Price $6,693.00 / $11,671.00 / $21,639.00	Facility		$6,693.00	$11,671.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,528.58 / $2,747.89 / $4,064.51	Professional		$1,528.58	$2,747.89	$4,064.51