Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,011.87 / $8,317.64	Facility		$660.69	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,348.96	Professional		$537.03	$630.96	$1,348.96
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 $602.56 / $870.96 / $1,479.11	Professional		$602.56	$870.96	$1,479.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $5,495.41	Professional		$602.56	$891.25	$5,495.41
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 $588.84 / $831.76 / $1,288.25	Professional		$588.84	$831.76	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $831.76	Professional		$549.54	$707.95	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,380.38	Professional		$1,023.29	$1,288.25	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $812.83 / $1,288.25	Facility		$562.34	$812.83	$1,288.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $6,918.31	Facility		$575.44	$812.83	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $6,918.31	Professional		$575.44	$812.83	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $13,803.84	Facility		$3,630.78	$7,079.46	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $1,318.26	Professional		$457.09	$776.25	$1,318.26