Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,888.44 / $10,964.78	Facility		$954.99	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,548.82	Professional		$724.44	$870.96	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,584.89	Professional		$831.76	$1,122.02	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,513.56	Professional		$776.25	$977.24	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,778.28	Professional		$776.25	$1,071.52	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $2,290.87	Professional		$724.44	$912.01	$2,290.87
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,041.74	Professional		$1,174.90	$1,479.11	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,737.80	Facility		$776.25	$1,174.90	$1,737.80
Sentara Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,148.15 / $8,709.64	Facility		$812.83	$1,148.15	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $8,709.64	Professional		$812.83	$1,148.15	$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 $707.95 / $1,096.48 / $1,737.80	Professional		$707.95	$1,096.48	$1,737.80