Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,168.69 / $10,964.78	Facility		$933.25	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,862.09	Professional		$691.83	$977.24	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,862.09	Professional		$724.44	$1,071.52	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $8,317.64	Professional		$776.25	$1,148.15	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,995.26	Professional		$758.58	$1,071.52	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,621.81	Professional		$1,071.52	$1,380.38	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,344.23	Professional		$1,096.48	$1,380.38	$2,344.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,862.09	Facility		$776.25	$1,148.15	$1,862.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $9,549.93	Facility		$676.08	$933.25	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $9,549.93	Professional		$851.14	$1,230.27	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $23,988.33	Facility		$6,456.54	$11,220.18	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $977.24 / $1,778.28	Professional		$616.60	$977.24	$1,778.28