Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $8,317.64	Facility		$870.96	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,659.59	Professional		$691.83	$812.83	$1,659.59
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 / $1,122.02 / $1,949.84	Professional		$776.25	$1,122.02	$1,949.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,258.93	Professional		$776.25	$912.01	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,659.59	Professional		$724.44	$933.25	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,047.13	Professional		$707.95	$891.25	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,778.28	Professional		$933.25	$1,148.15	$1,778.28
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,584.89	Facility		$724.44	$1,000.00	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $9,549.93	Facility		$676.08	$954.99	$9,549.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $9,549.93	Professional		$676.08	$954.99	$9,549.93
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 $562.34 / $870.96 / $1,513.56	Professional		$562.34	$870.96	$1,513.56