Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,630.78 / $8,317.64	Facility		$870.96	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,318.26	Professional		$676.08	$812.83	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,471.29 / $14,454.40	Facility		$6,606.93	$10,471.29	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,288.25	Professional		$676.08	$912.01	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,258.93	Professional		$741.31	$912.01	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,513.56	Professional		$602.56	$870.96	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,995.26	Professional		$630.96	$776.25	$1,995.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,737.80	Professional		$691.83	$1,071.52	$1,737.80
Medcost Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,584.89	Facility		$724.44	$977.24	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $954.99 / $3,630.78	Facility		$630.96	$954.99	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $3,630.78	Professional		$630.96	$954.99	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $5,754.40	Facility		$1,737.80	$3,311.31	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,445.44	Professional		$549.54	$891.25	$1,445.44