Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,630.78 / $8,317.64	Facility		$851.14	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,621.81	Professional		$676.08	$776.25	$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 $724.44 / $1,071.52 / $1,819.70	Professional		$724.44	$1,071.52	$1,819.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $5,495.41	Professional		$724.44	$1,071.52	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,548.82	Professional		$707.95	$912.01	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $977.24	Professional		$645.65	$812.83	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,698.24	Professional		$933.25	$1,148.15	$1,698.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $954.99 / $1,513.56	Facility		$691.83	$954.99	$1,513.56
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $6,918.31	Facility		$660.69	$954.99	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $6,918.31	Professional		$660.69	$954.99	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $14,125.38	Facility		$3,715.35	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,479.11	Professional		$549.54	$851.14	$1,479.11