Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,897.79 / $8,317.64	Facility		$812.83	$4,897.79	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,513.56	Professional		$645.65	$758.58	$1,513.56
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 $724.44 / $1,047.13 / $1,778.28	Professional		$724.44	$1,047.13	$1,778.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $8,317.64	Professional		$776.25	$1,122.02	$8,317.64
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 $707.95 / $1,000.00 / $1,513.56	Professional		$707.95	$1,000.00	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $977.24	Professional		$660.69	$831.76	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,659.59	Professional		$1,202.26	$1,513.56	$1,659.59
Medcost Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $1,513.56	Facility		$676.08	$954.99	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $9,549.93	Facility		$676.08	$977.24	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $9,549.93	Professional		$676.08	$977.24	$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 $562.34 / $912.01 / $1,548.82	Professional		$562.34	$912.01	$1,548.82