Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,897.79 / $8,317.64	Facility		$977.24	$4,897.79	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,659.59	Professional		$724.44	$851.14	$1,659.59
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 $831.76 / $1,148.15 / $1,584.89	Professional		$831.76	$1,148.15	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $5,623.41 / $8,317.64	Professional		$891.25	$5,623.41	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,862.09	Facility		$1,479.11	$1,479.11	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,737.80	Professional		$794.33	$1,023.29	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,096.48	Professional		$776.25	$933.25	$1,096.48
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 $758.58 / $977.24 / $1,513.56	Facility		$758.58	$977.24	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,122.02 / $8,709.64	Facility		$724.44	$1,122.02	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $8,709.64	Professional		$724.44	$1,122.02	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,621.81	Professional		$645.65	$933.25	$1,621.81