Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,128.61 / $14,454.40	Facility		$831.76	$5,128.61	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,905.46	Professional		$562.34	$870.96	$1,905.46
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 $562.34 / $831.76 / $1,445.44	Professional		$562.34	$831.76	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $8,317.64	Professional		$616.60	$891.25	$8,317.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,548.82	Professional		$588.84	$870.96	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,548.82	Professional		$1,023.29	$1,288.25	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,862.09	Professional		$977.24	$1,230.27	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $912.01 / $1,479.11	Facility		$588.84	$912.01	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $10,000.00	Facility		$537.03	$758.58	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $10,000.00	Professional		$724.44	$1,023.29	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,882.50 / $29,512.09	Facility		$7,413.10	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,412.54	Professional		$501.19	$812.83	$1,412.54