Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,128.61 / $14,791.08	Facility		$602.56	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $1,174.90	Professional		$478.63	$562.34	$1,174.90
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 $537.03 / $794.33 / $1,348.96	Professional		$537.03	$794.33	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $6,918.31	Professional		$549.54	$851.14	$6,918.31
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 $512.86 / $645.65 / $1,148.15	Professional		$512.86	$645.65	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $758.58	Professional		$501.19	$645.65	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,258.93	Professional		$676.08	$851.14	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,071.52	Facility		$501.19	$676.08	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $10,000.00	Facility		$478.63	$676.08	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $10,000.00	Professional		$478.63	$676.08	$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 $398.11 / $616.60 / $1,071.52	Professional		$398.11	$616.60	$1,071.52