Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,168.69 / $10,964.78	Facility		$562.34	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $776.25	Professional		$338.84	$457.09	$776.25
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 $416.87 / $616.60 / $891.25	Professional		$416.87	$616.60	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $3,235.94 / $4,466.84	Professional		$407.38	$3,235.94	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $2,511.89	Facility		$676.08	$676.08	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $891.25	Professional		$389.05	$537.03	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $851.14	Professional		$537.03	$707.95	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $691.83	Professional		$575.44	$575.44	$691.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $812.83	Facility		$371.54	$537.03	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $5,754.40	Facility		$338.84	$512.86	$5,754.40
Sentara Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $5,754.40	Professional		$436.52	$676.08	$5,754.40
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 $316.23 / $489.78 / $831.76	Professional		$316.23	$489.78	$831.76