Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,630.27 / $8,317.64	Facility		$741.31	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,348.96	Professional		$575.44	$691.83	$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 $676.08 / $977.24 / $1,698.24	Professional		$676.08	$977.24	$1,698.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,174.90	Professional		$691.83	$831.76	$1,174.90
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 $630.96 / $831.76 / $1,412.54	Professional		$630.96	$831.76	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,000.00	Professional		$660.69	$831.76	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,584.89	Professional		$870.96	$1,096.48	$1,584.89
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $812.83 / $1,318.26	Facility		$616.60	$812.83	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $3,162.28	Facility		$588.84	$831.76	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $3,162.28	Professional		$588.84	$831.76	$3,162.28
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 $489.78 / $776.25 / $1,288.25	Professional		$489.78	$776.25	$1,288.25