Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $5,128.61 / $14,791.08	Facility		$707.95	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,380.38	Professional		$575.44	$676.08	$1,380.38
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 $616.60 / $933.25 / $1,584.89	Professional		$616.60	$933.25	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $6,918.31	Professional		$645.65	$1,000.00	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,380.38	Professional		$602.56	$776.25	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $870.96	Professional		$575.44	$741.31	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,479.11	Professional		$741.31	$933.25	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $812.83 / $1,288.25	Facility		$588.84	$812.83	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $7,413.10	Facility		$575.44	$794.33	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $7,413.10	Professional		$575.44	$794.33	$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 $467.74 / $724.44 / $1,258.93	Professional		$467.74	$724.44	$1,258.93