Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $5,011.87 / $8,317.64	Facility		$691.83	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,318.26	Professional		$537.03	$645.65	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,548.82	Professional		$616.60	$891.25	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $10,000.00	Professional		$616.60	$954.99	$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 $575.44 / $741.31 / $1,318.26	Professional		$575.44	$741.31	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $851.14	Professional		$562.34	$724.44	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,412.54	Professional		$707.95	$891.25	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $1,202.26	Facility		$562.34	$776.25	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $7,413.10	Facility		$549.54	$758.58	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $7,413.10	Professional		$549.54	$758.58	$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 $446.68 / $691.83 / $1,174.90	Professional		$446.68	$691.83	$1,174.90