Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,630.27 / $8,317.64	Facility		$776.25	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,548.82	Professional		$660.69	$831.76	$1,548.82
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 $691.83 / $1,023.29 / $1,737.80	Professional		$691.83	$1,023.29	$1,737.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $6,918.31	Professional		$645.65	$831.76	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,698.24	Professional		$630.96	$912.01	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,318.26	Professional		$851.14	$1,096.48	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $2,041.74	Professional		$707.95	$933.25	$2,041.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $933.25 / $1,548.82	Facility		$630.96	$933.25	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $851.14 / $3,388.44	Facility		$512.86	$851.14	$3,388.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $3,630.78	Professional		$630.96	$1,047.13	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $5,754.40	Facility		$1,737.80	$3,311.31	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,513.56	Professional		$512.86	$812.83	$1,513.56