Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,888.44 / $15,135.61	Facility		$870.96	$5,888.44	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,348.96	Professional		$660.69	$812.83	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $12,302.69	Facility		$9,772.37	$11,220.18	$12,302.69
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 $870.96 / $1,318.26 / $12,022.64	Professional		$870.96	$1,318.26	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,659.59	Professional		$660.69	$977.24	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $2,137.96	Professional		$676.08	$831.76	$2,137.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,862.09	Professional		$1,000.00	$1,380.38	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,584.89	Facility		$741.31	$1,071.52	$1,584.89
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,047.13 / $10,964.78	Facility		$691.83	$1,047.13	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $10,964.78	Professional		$691.83	$1,047.13	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,621.81	Professional		$602.56	$1,000.00	$1,621.81