Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,897.79 / $8,912.51	Facility		$891.25	$4,897.79	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,698.24	Professional		$707.95	$831.76	$1,698.24
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 $776.25 / $1,148.15 / $1,949.84	Professional		$776.25	$1,148.15	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $12,022.64	Professional		$794.33	$1,230.27	$12,022.64
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 $758.58 / $954.99 / $1,659.59	Professional		$758.58	$954.99	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,071.52	Professional		$707.95	$912.01	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,819.70	Professional		$1,071.52	$1,318.26	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,548.82	Facility		$741.31	$1,000.00	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,000.00 / $9,549.93	Facility		$691.83	$1,000.00	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $9,549.93	Professional		$691.83	$1,000.00	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $23,988.33	Facility		$6,456.54	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $933.25 / $1,584.89	Professional		$588.84	$933.25	$1,584.89