Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,630.78 / $8,317.64	Facility		$512.86	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $1,023.29	Professional		$416.87	$501.19	$1,023.29
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 $467.74 / $691.83 / $1,174.90	Professional		$467.74	$691.83	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $4,365.16	Professional		$478.63	$741.31	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,023.29	Professional		$467.74	$602.56	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $676.08	Professional		$446.68	$562.34	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $912.01	Facility		$446.68	$588.84	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $2,691.53	Facility		$457.09	$602.56	$2,691.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $2,691.53	Professional		$457.09	$602.56	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $4,466.84	Facility		$1,071.52	$2,137.96	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $933.25	Professional		$363.08	$562.34	$933.25