Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,888.44 / $20,417.38	Facility		$1,148.15	$5,888.44	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,548.82	Professional		$616.60	$741.31	$1,548.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $22,387.21 / $38,018.94	Facility		$12,882.50	$22,387.21	$38,018.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,122.02	Professional		$602.56	$812.83	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $31,622.78 / $46,773.51	Professional		$758.58	$31,622.78	$46,773.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $16,218.10 / $46,773.51	Facility		$8,511.38	$16,218.10	$46,773.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,659.59	Professional		$660.69	$891.25	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $794.33	Professional		$537.03	$645.65	$794.33
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $912.01 / $1,380.38	Facility		$616.60	$912.01	$1,380.38
Sentara Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $34,673.69	Facility		$616.60	$891.25	$34,673.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $34,673.69	Professional		$616.60	$891.25	$34,673.69
United Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $24,547.09 / $64,565.42	Facility		$13,182.57	$24,547.09	$64,565.42
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,445.44	Professional		$588.84	$891.25	$1,445.44