Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $5,011.87 / $8,317.64	Facility		$549.54	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,071.52	Professional		$446.68	$524.81	$1,071.52
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 $501.19 / $724.44 / $1,258.93	Professional		$501.19	$724.44	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $10,000.00	Professional		$524.81	$794.33	$10,000.00
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 $489.78 / $630.96 / $1,071.52	Professional		$489.78	$630.96	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $707.95	Professional		$467.74	$602.56	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,148.15	Professional		$676.08	$851.14	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $660.69 / $1,000.00	Facility		$467.74	$660.69	$1,000.00
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 $478.63 / $630.96 / $7,413.10	Facility		$478.63	$630.96	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $7,413.10	Professional		$478.63	$630.96	$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 $380.19 / $588.84 / $1,000.00	Professional		$380.19	$588.84	$1,000.00