Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $8,317.64	Facility		$831.76	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,737.80	Professional		$676.08	$794.33	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
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 / $10,000.00	Professional		$758.58	$1,174.90	$10,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,584.89	Professional		$724.44	$977.24	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,023.29	Professional		$676.08	$851.14	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,737.80	Professional		$1,023.29	$1,288.25	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,548.82	Facility		$707.95	$977.24	$1,548.82
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 $724.44 / $977.24 / $7,413.10	Facility		$724.44	$977.24	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $7,413.10	Professional		$724.44	$977.24	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,513.56	Professional		$575.44	$891.25	$1,513.56