Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,235.94 / $8,317.64	Facility		$758.58	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $575.44 / $758.58	Professional		$223.87	$575.44	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,148.15	Professional		$457.09	$676.08	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,047.13	Professional		$676.08	$741.31	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,023.29	Professional		$691.83	$831.76	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $602.56 / $1,202.26	Facility		$223.87	$602.56	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,584.89	Facility		$602.56	$812.83	$1,584.89
Sentara Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,584.89	Professional		$602.56	$812.83	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,380.38	Professional		$501.19	$812.83	$1,380.38