Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,630.78 / $9,549.93	Facility		$933.25	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,819.70	Professional		$812.83	$954.99	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $20,892.96 / $28,840.32	Facility		$8,709.64	$20,892.96	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,290.87	Professional		$891.25	$1,318.26	$2,290.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,412.54	Professional		$912.01	$1,000.00	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,905.46	Professional		$851.14	$1,096.48	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,230.27	Professional		$831.76	$1,047.13	$1,230.27
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 $851.14 / $1,148.15 / $1,819.70	Facility		$851.14	$1,148.15	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,148.15 / $4,073.80	Facility		$831.76	$1,148.15	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $4,073.80	Professional		$831.76	$1,148.15	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $7,079.46	Facility		$1,584.89	$3,388.44	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,778.28	Professional		$676.08	$1,047.13	$1,778.28