Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $5,011.87 / $8,317.64	Facility		$524.81	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $1,023.29	Professional		$407.38	$489.78	$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 $457.09 / $691.83 / $1,174.90	Professional		$457.09	$691.83	$1,174.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $954.99	Professional		$467.74	$691.83	$954.99
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 $446.68 / $562.34 / $1,000.00	Professional		$446.68	$562.34	$1,000.00
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 $575.44 / $707.95 / $1,096.48	Professional		$575.44	$707.95	$1,096.48
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $933.25	Facility		$436.52	$588.84	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $3,388.44	Facility		$407.38	$575.44	$3,388.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $3,388.44	Professional		$407.38	$575.44	$3,388.44
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 $338.84 / $537.03 / $933.25	Professional		$338.84	$537.03	$933.25