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 / $14,791.08	Facility		$831.76	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $2,089.30	Professional		$676.08	$794.33	$2,089.30
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 $741.31 / $1,096.48 / $1,905.46	Professional		$741.31	$1,096.48	$1,905.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $10,000.00	Professional		$758.58	$1,174.90	$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 $724.44 / $912.01 / $1,584.89	Professional		$724.44	$912.01	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,023.29	Professional		$691.83	$870.96	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,737.80	Professional		$954.99	$1,174.90	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,548.82	Facility		$707.95	$977.24	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $10,000.00	Facility		$676.08	$954.99	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $10,000.00	Professional		$676.08	$954.99	$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 $562.34 / $870.96 / $1,513.56	Professional		$562.34	$870.96	$1,513.56