Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,884.03 / $15,135.61	Facility		$575.44	$2,884.03	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $3,235.94	Professional		$398.11	$891.25	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57,543.99 / $64,565.42 / $70,794.58	Facility		$57,543.99	$64,565.42	$70,794.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,023.29	Professional		$407.38	$602.56	$1,023.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $5,370.32	Professional		$446.68	$630.96	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $3,548.13	Professional		$416.87	$741.31	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $3,630.78	Professional		$2,344.23	$3,019.95	$3,630.78
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $5,370.32	Professional		$537.03	$660.69	$5,370.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $3,235.94	Facility		$416.87	$758.58	$3,235.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $549.54 / $10,000.00	Facility		$380.19	$549.54	$10,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,187.76 / $10,000.00	Professional		$457.09	$2,187.76	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $15,848.93 / $38,904.51	Facility		$7,762.47	$15,848.93	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,023.29 / $3,019.95	Professional		$346.74	$1,023.29	$3,019.95