Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $3,715.35 / $9,772.37	Facility		$354.81	$3,715.35	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,513.56 / $1,905.46	Professional		$354.81	$1,513.56	$1,905.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $10,232.93 / $12,302.69	Facility		$7,762.47	$10,232.93	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $416.87	Professional		$239.88	$239.88	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,778.28	Professional		$1,513.56	$1,584.89	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $3,235.94 / $8,912.51	Facility		$95.50	$3,235.94	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,818.38	Professional		$2,398.83	$2,398.83	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,754.23	Professional		$1,949.84	$2,137.96	$2,754.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,698.24 / $2,754.23	Facility		$380.19	$1,698.24	$2,754.23
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,073.80	Professional		$1,258.93	$1,258.93	$4,073.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,801.89	Facility		$1,380.38	$2,238.72	$3,801.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,981.07	Professional		$1,380.38	$2,238.72	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,344.23	Facility		$1,174.90	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $2,238.72	Professional		$812.83	$977.24	$2,238.72