Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,630.78 / $15,135.61	Facility		$758.58	$3,630.78	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,737.80	Professional		$707.95	$954.99	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,584.89	Professional		$758.58	$1,096.48	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $2,290.87 / $3,548.13	Professional		$794.33	$2,290.87	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,621.81	Professional		$707.95	$1,000.00	$1,621.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,288.25	Professional		$691.83	$1,000.00	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $1,288.25	Professional		$1,174.90	$1,288.25	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,621.81	Facility		$758.58	$1,023.29	$1,621.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,023.29 / $8,709.64	Facility		$691.83	$1,023.29	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $8,709.64	Professional		$794.33	$1,122.02	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,479.11	Professional		$588.84	$831.76	$1,479.11