Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $3,090.30 / $7,244.36	Facility		$446.68	$3,090.30	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $831.76	Professional		$281.84	$416.87	$831.76
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 $295.12 / $436.52 / $741.31	Professional		$295.12	$436.52	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $3,548.13	Professional		$295.12	$457.09	$3,548.13
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 $295.12 / $436.52 / $812.83	Professional		$295.12	$436.52	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $630.96	Professional		$416.87	$537.03	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $1,000.00	Professional		$426.58	$537.03	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $741.31	Facility		$302.00	$446.68	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $371.54 / $3,162.28	Facility		$269.15	$371.54	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $3,162.28	Professional		$331.13	$512.86	$3,162.28
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 $239.88 / $389.05 / $707.95	Professional		$239.88	$389.05	$707.95