Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.45 / $3,633.00 / $8,294.00	Facility		$267.45	$3,633.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.33 / $2,575.53 / $3,507.93	Professional		$219.33	$2,575.53	$3,507.93
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 $238.77 / $1,438.86 / $3,785.52	Professional		$238.77	$1,438.86	$3,785.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $254.59 / $370.56 / $5,354.00	Professional		$254.59	$370.56	$5,354.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $2,197.85 / $5,904.51	Professional		$270.60	$2,197.85	$5,904.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,127.44 / $3,039.21 / $3,733.29	Professional		$2,127.44	$3,039.21	$3,733.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $258.42 / $2,522.48 / $5,342.58	Facility		$258.42	$2,522.48	$5,342.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $564.74 / $4,265.35 / $5,613.00	Professional		$564.74	$4,265.35	$5,613.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $244.71 / $328.25 / $6,585.00	Facility		$244.71	$328.25	$6,585.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $3,189.03 / $4,209.52 / $8,031.00	Professional		$3,189.03	$4,209.52	$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 $2,899.50 / $5,012.26 / $7,686.71	Professional		$2,899.50	$5,012.26	$7,686.71