Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,570.40 / $8,317.64	Facility		$263.03	$2,570.40	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $501.19	Professional		$208.93	$251.19	$501.19
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 $245.47 / $354.81 / $616.60	Professional		$245.47	$354.81	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $954.99	Professional		$257.04	$398.11	$954.99
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 $223.87 / $281.84 / $537.03	Professional		$223.87	$281.84	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $398.11	Professional		$263.03	$338.84	$398.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $562.34	Professional		$263.03	$331.13	$562.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $478.63	Facility		$218.78	$295.12	$478.63
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $3,162.28	Facility		$208.93	$288.40	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $3,162.28	Professional		$208.93	$295.12	$3,162.28
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 $169.82 / $269.15 / $467.74	Professional		$169.82	$269.15	$467.74