Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,235.94 / $8,317.64	Facility		$812.83	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,000.00 / $1,621.81	Professional		$223.87	$1,000.00	$1,621.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $13,182.57 / $15,488.17	Facility		$9,772.37	$13,182.57	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,023.29	Professional		$416.87	$602.56	$1,023.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,122.02	Professional		$724.44	$812.83	$1,122.02
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 $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,630.27	Professional		$1,778.28	$2,089.30	$2,630.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,122.02 / $2,290.87	Facility		$223.87	$1,122.02	$2,290.87
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,951.21	Facility		$1,148.15	$1,479.11	$2,951.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,951.21	Professional		$1,148.15	$1,479.11	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,630.78 / $7,079.46	Facility		$1,584.89	$3,630.78	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,995.26	Professional		$616.60	$1,047.13	$1,995.26