Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $9,549.93	Facility		$891.25	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,548.82	Professional		$741.31	$891.25	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $16,218.10 / $21,877.62	Facility		$8,709.64	$16,218.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,659.59	Professional		$870.96	$1,148.15	$1,659.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,479.11	Professional		$933.25	$1,148.15	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,905.46	Professional		$812.83	$1,096.48	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $2,454.71	Professional		$758.58	$954.99	$2,454.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,137.96	Professional		$1,174.90	$1,548.82	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,819.70	Facility		$851.14	$1,230.27	$1,819.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,202.26 / $5,248.07	Facility		$794.33	$1,202.26	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $5,248.07	Professional		$794.33	$1,202.26	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $7,079.46	Facility		$1,698.24	$3,467.37	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,862.09	Professional		$691.83	$1,122.02	$1,862.09