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 $851.14 / $1,023.29 / $1,621.81	Professional		$851.14	$1,023.29	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,595.87 / $22,908.68	Facility		$8,709.64	$16,595.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,621.81	Professional		$851.14	$1,148.15	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,479.11	Professional		$912.01	$1,148.15	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,819.70	Professional		$851.14	$1,148.15	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $2,454.71	Professional		$794.33	$977.24	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,089.30	Professional		$1,174.90	$1,445.44	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,862.09	Facility		$891.25	$1,258.93	$1,862.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,202.26 / $5,248.07	Facility		$812.83	$1,202.26	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $5,248.07	Professional		$812.83	$1,202.26	$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 $741.31 / $1,122.02 / $1,905.46	Professional		$741.31	$1,122.02	$1,905.46