Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.89 / $3,969.25 / $9,539.00	Facility		$385.89	$3,969.25	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.75 / $385.89 / $2,346.55	Professional		$153.75	$385.89	$2,346.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.02 / $380.42 / $635.07	Professional		$291.02	$380.42	$635.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $304.58 / $339.82 / $7,257.00	Professional		$304.58	$339.82	$7,257.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $555.57 / $640.00	Facility		$555.57	$555.57	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.21 / $420.77 / $3,360.31	Professional		$183.21	$420.77	$3,360.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,954.89 / $2,578.48 / $2,930.09	Professional		$1,954.89	$2,578.48	$2,930.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $206.79 / $451.49 / $2,792.39	Facility		$206.79	$451.49	$2,792.39
Medcost Facility/Professional Professional Modifier Low / Median / High Price $261.00 / $305.00 / $3,446.00	Professional		$261.00	$305.00	$3,446.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $164.72 / $329.74 / $1,646.79	Facility		$164.72	$329.74	$1,646.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.81 / $2,049.84 / $7,420.00	Professional		$229.81	$2,049.84	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $34,314.00	Facility		$7,408.00	$13,296.00	$34,314.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $1,734.24 / $3,514.49	Professional		$203.19	$1,734.24	$3,514.49