Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $5,888.44 / $10,964.78	Facility		$977.24	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,778.28	Professional		$794.33	$912.01	$1,778.28
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 $870.96 / $1,258.93 / $2,187.76	Professional		$870.96	$1,258.93	$2,187.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $12,022.64	Professional		$912.01	$1,348.96	$12,022.64
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 $851.14 / $1,202.26 / $1,819.70	Professional		$851.14	$1,202.26	$1,819.70
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 $1,445.44 / $1,819.70 / $2,041.74	Professional		$1,445.44	$1,819.70	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,174.90 / $1,819.70	Facility		$812.83	$1,174.90	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,174.90 / $10,000.00	Facility		$831.76	$1,174.90	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $10,000.00	Professional		$831.76	$1,174.90	$10,000.00
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 $676.08 / $1,096.48 / $1,778.28	Professional		$676.08	$1,096.48	$1,778.28