Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,786.30 / $10,964.78	Facility		$933.25	$4,786.30	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,819.70	Professional		$616.60	$758.58	$1,819.70
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 $660.69 / $977.24 / $1,659.59	Professional		$660.69	$977.24	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $10,000.00	Professional		$776.25	$1,047.13	$10,000.00
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 $660.69 / $851.14 / $1,412.54	Professional		$660.69	$851.14	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $912.01	Professional		$616.60	$776.25	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,548.82	Professional		$912.01	$1,122.02	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,318.26	Facility		$630.96	$870.96	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $7,413.10	Facility		$630.96	$870.96	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $7,413.10	Professional		$630.96	$870.96	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,348.96	Professional		$512.86	$794.33	$1,348.96