Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,570.88 / $7,943.28	Facility		$891.25	$4,570.88	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,621.81	Professional		$645.65	$831.76	$1,621.81
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 $707.95 / $1,023.29 / $1,479.11	Professional		$707.95	$1,023.29	$1,479.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,570.40 / $3,548.13	Professional		$707.95	$2,570.40	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,862.09	Facility		$1,202.26	$1,202.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,584.89	Professional		$691.83	$954.99	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,258.93	Professional		$794.33	$1,047.13	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,288.25	Professional		$1,122.02	$1,122.02	$1,288.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,380.38	Facility		$660.69	$912.01	$1,380.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Sentara Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $977.24 / $4,073.80	Facility		$676.08	$977.24	$4,073.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $4,073.80	Professional		$776.25	$1,148.15	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,467.37 / $5,754.40	Facility		$1,737.80	$3,467.37	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,548.82	Professional		$588.84	$870.96	$1,548.82