Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $9,549.93	Facility		$977.24	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,445.44	Professional		$812.83	$977.24	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,471.29 / $14,454.40	Facility		$6,606.93	$10,471.29	$14,454.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,737.80	Professional		$912.01	$1,202.26	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,513.56	Professional		$954.99	$1,174.90	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,089.30	Professional		$851.14	$1,122.02	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,187.76	Professional		$891.25	$1,122.02	$2,187.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,137.96	Professional		$1,096.48	$1,380.38	$2,137.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,905.46	Facility		$912.01	$1,230.27	$1,905.46
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,230.27 / $5,248.07	Facility		$831.76	$1,230.27	$5,248.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $5,248.07	Professional		$831.76	$1,230.27	$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 $724.44 / $1,096.48 / $1,862.09	Professional		$724.44	$1,096.48	$1,862.09