Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,888.44 / $11,220.18	Facility		$741.31	$5,888.44	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,445.44	Professional		$588.84	$691.83	$1,445.44
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 $616.60 / $891.25 / $1,548.82	Professional		$616.60	$891.25	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $6,918.31	Professional		$660.69	$891.25	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,318.26	Professional		$616.60	$812.83	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $851.14	Professional		$575.44	$724.44	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,479.11	Professional		$870.96	$1,071.52	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $1,318.26	Facility		$602.56	$870.96	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $851.14 / $9,549.93	Facility		$588.84	$851.14	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $9,549.93	Professional		$588.84	$851.14	$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 $489.78 / $758.58 / $1,288.25	Professional		$489.78	$758.58	$1,288.25