Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,786.30 / $8,912.51	Facility		$489.78	$4,786.30	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,380.38 / $2,344.23	Professional		$398.11	$1,380.38	$2,344.23
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 $489.78 / $1,348.96 / $2,630.27	Professional		$489.78	$1,348.96	$2,630.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $8,317.64	Professional		$501.19	$758.58	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,445.44 / $3,311.31	Professional		$457.09	$1,445.44	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,949.84 / $5,011.87	Professional		$389.05	$1,949.84	$5,011.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $4,466.84	Professional		$2,630.27	$3,235.94	$4,466.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,513.56 / $3,388.44	Facility		$457.09	$1,513.56	$3,388.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $10,000.00	Facility		$426.58	$602.56	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $10,000.00	Professional		$1,698.24	$2,454.71	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,481.54 / $23,988.33	Facility		$6,760.83	$11,481.54	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,230.27 / $3,311.31	Professional		$398.11	$1,230.27	$3,311.31