Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,630.78 / $9,549.93	Facility		$851.14	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,479.11	Professional		$660.69	$831.76	$1,479.11
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 $776.25 / $1,148.15 / $1,995.26	Professional		$776.25	$1,148.15	$1,995.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $5,495.41	Professional		$812.83	$1,230.27	$5,495.41
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 / $954.99 / $1,698.24	Professional		$707.95	$954.99	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,148.15	Professional		$758.58	$977.24	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,862.09	Professional		$1,000.00	$1,258.93	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $977.24 / $1,548.82	Facility		$741.31	$977.24	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $6,918.31	Facility		$676.08	$954.99	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $6,918.31	Professional		$676.08	$954.99	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $14,125.38	Facility		$3,715.35	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,513.56	Professional		$575.44	$891.25	$1,513.56