Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,786.30 / $8,317.64	Facility		$831.76	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,737.80	Professional		$660.69	$776.25	$1,737.80
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 / $1,148.15 / $6,918.31	Professional		$741.31	$1,148.15	$6,918.31
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 / $933.25 / $1,548.82	Professional		$707.95	$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 $977.24 / $1,230.27 / $1,698.24	Professional		$977.24	$1,230.27	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,445.44	Facility		$691.83	$954.99	$1,445.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $6,918.31	Facility		$691.83	$933.25	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $6,918.31	Professional		$691.83	$933.25	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,244.36 / $14,125.38	Facility		$3,801.89	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,479.11	Professional		$562.34	$870.96	$1,479.11