Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,737.80 / $7,079.46	Facility		$954.99	$1,737.80	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,819.70	Professional		$741.31	$954.99	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,698.24	Professional		$831.76	$1,202.26	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $2,570.40 / $3,548.13	Professional		$851.14	$2,570.40	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Facility		$1,412.54	$1,412.54	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,862.09	Professional		$812.83	$1,096.48	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,412.54	Professional		$912.01	$1,174.90	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,288.25	Professional		$1,071.52	$1,071.52	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,584.89	Facility		$776.25	$1,047.13	$1,584.89
Medcost 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
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,148.15 / $4,073.80	Facility		$741.31	$1,148.15	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $4,786.30	Professional		$870.96	$1,318.26	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,737.80	Professional		$691.83	$977.24	$1,737.80