Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,365.16 / $14,791.08	Facility		$954.99	$4,365.16	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,096.48	Professional		$616.60	$794.33	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,513.56	Professional		$707.95	$933.25	$1,513.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Professional		$120.23	$120.23	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,819.70	Professional		$602.56	$1,000.00	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,202.26	Professional		$691.83	$812.83	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $977.24 / $1,659.59	Facility		$645.65	$977.24	$1,659.59
Medcost Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $3,311.31	Facility		$660.69	$933.25	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $3,311.31	Professional		$660.69	$933.25	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $7,079.46	Facility		$407.38	$3,019.95	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $1,737.80	Professional		$524.81	$1,000.00	$1,737.80