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 / $9,549.93	Facility		$870.96	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,288.25	Professional		$676.08	$831.76	$1,288.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $19,054.61 / $26,302.68	Facility		$11,748.98	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,318.26	Professional		$691.83	$933.25	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,288.25	Professional		$812.83	$1,000.00	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,659.59	Professional		$676.08	$912.01	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,238.72	Professional		$691.83	$870.96	$2,238.72
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,698.24	Professional		$812.83	$1,023.29	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,584.89	Facility		$776.25	$1,000.00	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $5,248.07	Facility		$645.65	$954.99	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $5,248.07	Professional		$645.65	$954.99	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,479.11	Professional		$588.84	$851.14	$1,479.11