Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,888.44 / $10,964.78	Facility		$831.76	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,737.80	Professional		$707.95	$812.83	$1,737.80
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 $741.31 / $1,096.48 / $1,862.09	Professional		$741.31	$1,096.48	$1,862.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $12,022.64	Professional		$758.58	$1,174.90	$12,022.64
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 $724.44 / $1,000.00 / $1,621.81	Professional		$724.44	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $870.96 / $1,023.29	Professional		$676.08	$870.96	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,819.70	Professional		$891.25	$1,380.38	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,621.81	Facility		$707.95	$977.24	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $6,918.31	Facility		$676.08	$1,047.13	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $6,918.31	Professional		$676.08	$1,047.13	$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 $575.44 / $933.25 / $1,513.56	Professional		$575.44	$933.25	$1,513.56