Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,888.44 / $16,595.87	Facility		$758.58	$5,888.44	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,348.96	Professional		$588.84	$707.95	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $15,848.93	Facility		$11,748.98	$14,791.08	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,288.25	Professional		$630.96	$851.14	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $13,803.84	Professional		$616.60	$707.95	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $7,079.46 / $7,943.28	Facility		$489.78	$7,079.46	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,288.25	Professional		$602.56	$812.83	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,071.52	Professional		$602.56	$724.44	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,288.25	Facility		$645.65	$831.76	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,023.29	Professional		$588.84	$588.84	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $3,162.28	Facility		$660.69	$851.14	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $3,162.28	Professional		$660.69	$851.14	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $12,302.69 / $29,512.09	Facility		$2,511.89	$12,302.69	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,288.25	Professional		$537.03	$794.33	$1,288.25