Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,495.41 / $10,000.00	Facility		$741.31	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,548.82	Professional		$630.96	$741.31	$1,548.82
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 $660.69 / $977.24 / $1,659.59	Professional		$660.69	$977.24	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $6,918.31	Professional		$724.44	$1,047.13	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,445.44	Professional		$616.60	$912.01	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $912.01	Professional		$616.60	$776.25	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $1,621.81	Professional		$724.44	$1,258.93	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,445.44	Facility		$630.96	$891.25	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $933.25 / $6,918.31	Facility		$588.84	$933.25	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $6,918.31	Professional		$588.84	$933.25	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $14,125.38	Facility		$3,801.89	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,380.38	Professional		$501.19	$831.76	$1,380.38