Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,495.41 / $10,000.00	Facility		$645.65	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,380.38	Professional		$524.81	$616.60	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $12,302.69 / $17,782.79	Facility		$9,772.37	$12,302.69	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $977.24	Professional		$524.81	$691.83	$977.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $8,317.64	Professional		$588.84	$891.25	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,174.90	Professional		$537.03	$707.95	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $549.54 / $1,380.38	Professional		$446.68	$549.54	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,258.93	Professional		$794.33	$977.24	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $1,174.90	Facility		$537.03	$758.58	$1,174.90
Sentara Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $10,000.00	Facility		$524.81	$741.31	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $10,000.00	Professional		$524.81	$741.31	$10,000.00
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 / $707.95 / $1,148.15	Professional		$446.68	$707.95	$1,148.15