Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,630.78 / $9,549.93	Facility		$831.76	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,412.54	Professional		$741.31	$870.96	$1,412.54
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 $741.31 / $1,000.00 / $1,412.54	Professional		$741.31	$1,000.00	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $4,466.84	Professional		$831.76	$1,288.25	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,584.89	Professional		$741.31	$1,000.00	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $2,137.96	Professional		$691.83	$851.14	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,819.70	Professional		$1,023.29	$1,288.25	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,659.59	Facility		$776.25	$1,122.02	$1,659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $8,709.64	Facility		$724.44	$1,047.13	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $8,709.64	Professional		$724.44	$1,047.13	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $1,659.59	Professional		$645.65	$977.24	$1,659.59