Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,888.44 / $9,549.93	Facility		$933.25	$5,888.44	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $7,943.28	Professional		$724.44	$933.25	$7,943.28
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 $933.25 / $1,288.25 / $2,290.87	Professional		$933.25	$1,288.25	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $14,454.40	Professional		$1,288.25	$1,905.46	$14,454.40
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 $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,071.52	Professional		$724.44	$870.96	$1,071.52
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,348.96 / $7,585.78	Facility		$724.44	$1,348.96	$7,585.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $10,000.00	Facility		$891.25	$1,230.27	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $10,000.00	Professional		$891.25	$1,230.27	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $2,238.72	Professional		$724.44	$1,348.96	$2,238.72