Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,630.78 / $8,317.64	Facility		$707.95	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,348.96	Professional		$562.34	$660.69	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,584.89	Professional		$630.96	$912.01	$1,584.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,096.48	Professional		$645.65	$794.33	$1,096.48
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 $616.60 / $758.58 / $1,348.96	Professional		$616.60	$758.58	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $870.96	Professional		$575.44	$741.31	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,479.11	Professional		$851.14	$1,047.13	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,288.25	Facility		$602.56	$812.83	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $794.33 / $7,413.10	Facility		$549.54	$794.33	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $7,413.10	Professional		$549.54	$794.33	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,258.93	Professional		$467.74	$724.44	$1,258.93