Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,630.78 / $8,317.64	Facility		$912.01	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,513.56	Professional		$758.58	$912.01	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $7,413.10 / $9,332.54	Facility		$6,606.93	$7,413.10	$9,332.54
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 $851.14 / $1,318.26 / $6,918.31	Professional		$851.14	$1,318.26	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,621.81	Professional		$758.58	$1,023.29	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,137.96	Professional		$691.83	$870.96	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,862.09	Professional		$1,047.13	$1,288.25	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,698.24	Facility		$776.25	$1,122.02	$1,698.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $10,000.00	Facility		$741.31	$1,071.52	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $10,000.00	Professional		$741.31	$1,071.52	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,659.59	Professional		$660.69	$1,000.00	$1,659.59