Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,041.74 / $7,079.46	Facility		$616.60	$2,041.74	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $1,202.26	Professional		$501.19	$602.56	$1,202.26
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 $537.03 / $794.33 / $1,380.38	Professional		$537.03	$794.33	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $2,511.89	Professional		$562.34	$812.83	$2,511.89
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 $537.03 / $676.08 / $1,230.27	Professional		$537.03	$676.08	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $933.25	Professional		$616.60	$794.33	$933.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,348.96	Professional		$707.95	$891.25	$1,348.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,122.02	Facility		$512.86	$707.95	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $676.08 / $1,479.11	Facility		$478.63	$676.08	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,479.11	Professional		$524.81	$707.95	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,230.27 / $2,511.89	Facility		$229.09	$1,230.27	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,096.48	Professional		$407.38	$645.65	$1,096.48