Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $5,011.87 / $8,317.64	Facility		$812.83	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,513.56	Professional		$616.60	$758.58	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,819.70	Professional		$724.44	$1,071.52	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,230.27	Professional		$741.31	$891.25	$1,230.27
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 $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,000.00	Professional		$660.69	$851.14	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,698.24	Professional		$1,047.13	$1,318.26	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,445.44	Facility		$691.83	$933.25	$1,445.44
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 $660.69 / $933.25 / $9,549.93	Facility		$660.69	$933.25	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $9,549.93	Professional		$660.69	$933.25	$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 $562.34 / $851.14 / $1,479.11	Professional		$562.34	$851.14	$1,479.11