Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,630.78 / $8,317.64	Facility		$562.34	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,000.00	Professional		$457.09	$562.34	$1,000.00
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 $426.58 / $562.34 / $794.33	Professional		$426.58	$562.34	$794.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,890.45 / $5,623.41	Professional		$489.78	$3,890.45	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $870.96	Professional		$446.68	$630.96	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $588.84	Professional		$398.11	$478.63	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,047.13	Professional		$691.83	$870.96	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $1,047.13	Facility		$457.09	$724.44	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $660.69 / $10,000.00	Facility		$426.58	$660.69	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $10,000.00	Professional		$426.58	$660.69	$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 $407.38 / $676.08 / $1,023.29	Professional		$407.38	$676.08	$1,023.29