Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,630.78 / $9,549.93	Facility		$954.99	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,412.54	Professional		$794.33	$977.24	$1,412.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,348.96	Professional		$724.44	$977.24	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,630.27 / $3,548.13	Professional		$831.76	$2,630.27	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,659.59	Professional		$870.96	$1,096.48	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,000.00	Professional		$676.08	$812.83	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,041.74	Professional		$1,096.48	$1,380.38	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,819.70	Facility		$851.14	$1,230.27	$1,819.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,230.27 / $7,413.10	Facility		$776.25	$1,230.27	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $7,413.10	Professional		$776.25	$1,230.27	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,290.87 / $4,466.84	Facility		$1,122.02	$2,290.87	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,949.84	Professional		$776.25	$1,174.90	$1,949.84