Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.20 / $3,633.00 / $8,636.54	Facility		$192.20	$3,633.00	$8,636.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $1,346.00 / $3,405.55	Professional		$157.83	$1,346.00	$3,405.55
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 $170.92 / $1,392.87 / $3,664.52	Professional		$170.92	$1,392.87	$3,664.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $265.64 / $5,354.00	Professional		$182.50	$265.64	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $2,123.27 / $5,731.80	Professional		$193.80	$2,123.27	$5,731.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,058.29 / $2,940.41 / $3,606.61	Professional		$2,058.29	$2,940.41	$3,606.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $185.84 / $2,436.90 / $5,186.64	Facility		$185.84	$2,436.90	$5,186.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $404.45 / $4,143.16 / $5,449.00	Professional		$404.45	$4,143.16	$5,449.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $175.86 / $235.90 / $6,585.00	Facility		$175.86	$235.90	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,095.96 / $4,086.67 / $8,031.00	Professional		$3,095.96	$4,086.67	$8,031.00
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 $2,815.62 / $4,846.22 / $7,253.62	Professional		$2,815.62	$4,846.22	$7,253.62