Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,456.54 / $15,488.17	Facility		$870.96	$6,456.54	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,513.56	Professional		$758.58	$870.96	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,220.18 / $15,488.17	Facility		$6,918.31	$11,220.18	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,445.44	Professional		$758.58	$1,023.29	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $1,318.26	Professional		$831.76	$1,023.29	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,659.59	Professional		$758.58	$1,023.29	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,187.76	Professional		$691.83	$870.96	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,862.09	Professional		$1,047.13	$1,318.26	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,698.24	Facility		$794.33	$1,122.02	$1,698.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $8,709.64	Facility		$741.31	$1,071.52	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $8,709.64	Professional		$741.31	$1,071.52	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $14,125.38	Facility		$3,715.35	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,659.59	Professional		$645.65	$1,000.00	$1,659.59