Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $3,162.28	Facility		$954.99	$2,398.83	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,202.26	Professional		$831.76	$977.24	$1,202.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $7,943.28	Facility		$5,011.87	$6,606.93	$7,943.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,398.83	Professional		$1,445.44	$1,445.44	$2,398.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,148.15	Professional		$977.24	$1,023.29	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $6,456.54	Facility		$1,288.25	$2,137.96	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,862.09	Professional		$1,548.82	$1,548.82	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,778.28	Professional		$1,258.93	$1,380.38	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,949.84	Facility		$954.99	$1,202.26	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,513.56 / $10,000.00	Facility		$891.25	$1,513.56	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $10,000.00	Professional		$912.01	$1,548.82	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,513.56	Facility		$758.58	$1,258.93	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,445.44	Professional		$537.03	$630.96	$1,445.44