Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.56 / $5,412.00 / $12,672.71	Facility		$812.56	$5,412.00	$12,672.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.01 / $732.60 / $1,206.18	Professional		$539.01	$732.60	$1,206.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.82 / $677.53 / $1,120.16	Professional		$529.82	$677.53	$1,120.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $617.52 / $664.86 / $6,898.00	Professional		$617.52	$664.86	$6,898.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $961.16 / $961.16 / $1,200.00	Facility		$961.16	$961.16	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.16 / $833.99 / $1,432.66	Professional		$582.16	$833.99	$1,432.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.66 / $905.08 / $1,069.64	Professional		$703.66	$905.08	$1,069.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $631.79 / $870.25 / $1,326.00	Facility		$631.79	$870.25	$1,326.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $896.00 / $1,029.00 / $1,346.66	Professional		$896.00	$1,029.00	$1,346.66
Sentara Facility/Professional Facility Modifier Low / Median / High Price $558.14 / $728.59 / $1,683.00	Facility		$558.14	$728.59	$1,683.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $704.23 / $920.67 / $1,836.21	Professional		$704.23	$920.67	$1,836.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,713.00 / $2,863.00 / $5,340.00	Facility		$1,713.00	$2,863.00	$5,340.00
United Facility/Professional Professional Modifier Low / Median / High Price $556.16 / $879.58 / $1,400.38	Professional		$556.16	$879.58	$1,400.38