Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,495.41 / $10,000.00	Facility		$776.25	$5,495.41	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,548.82	Professional		$616.60	$758.58	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,737.80	Professional		$691.83	$1,023.29	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $5,370.32	Professional		$691.83	$977.24	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,479.11	Professional		$660.69	$851.14	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $954.99	Professional		$630.96	$812.83	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,621.81	Professional		$870.96	$1,096.48	$1,621.81
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,380.38	Facility		$630.96	$891.25	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $7,413.10	Facility		$630.96	$891.25	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $7,413.10	Professional		$630.96	$891.25	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,380.38	Professional		$512.86	$794.33	$1,380.38