Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $6,918.31	Facility		$776.25	$1,548.82	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,698.24	Professional		$616.60	$812.83	$1,698.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,445.44	Professional		$691.83	$1,000.00	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $3,548.13 / $5,623.41	Professional		$691.83	$3,548.13	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,659.59	Facility		$1,174.90	$1,174.90	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,584.89	Professional		$676.08	$954.99	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,230.27	Professional		$794.33	$1,023.29	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,348.96	Professional		$1,122.02	$1,122.02	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,348.96	Facility		$645.65	$912.01	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $10,000.00	Facility		$660.69	$954.99	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $10,000.00	Professional		$776.25	$1,148.15	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,513.56	Professional		$602.56	$870.96	$1,513.56