Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.44 / $3,045.00 / $7,275.00	Facility		$775.44	$3,045.00	$7,275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.26 / $730.15 / $1,262.28	Professional		$463.26	$730.15	$1,262.28
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 $493.01 / $713.62 / $1,068.99	Professional		$493.01	$713.62	$1,068.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $537.87 / $787.26 / $3,774.00	Professional		$537.87	$787.26	$3,774.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.66 / $797.27 / $1,329.54	Professional		$529.66	$797.27	$1,329.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.87 / $845.84 / $1,043.21	Professional		$704.87	$845.84	$1,043.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $547.08 / $837.57 / $1,266.80	Facility		$547.08	$837.57	$1,266.80
Medcost Facility/Professional Facility Modifier 50 Low / Median / High Price $1,264.74 / $1,449.74 / $2,057.83	Facility	50	$1,264.74	$1,449.74	$2,057.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $856.00 / $984.00 / $1,428.36	Professional		$856.00	$984.00	$1,428.36
Sentara Facility/Professional Facility Modifier Low / Median / High Price $492.17 / $646.46 / $3,512.00	Facility		$492.17	$646.46	$3,512.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.57 / $922.07 / $3,512.00	Professional		$630.57	$922.07	$3,512.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,651.00 / $6,145.00 / $13,521.00	Facility		$3,651.00	$6,145.00	$13,521.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.15 / $899.27 / $1,526.47	Professional		$573.15	$899.27	$1,526.47