Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,630.78 / $8,317.64	Facility		$549.54	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,380.38	Professional		$426.58	$524.81	$1,380.38
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 $501.19 / $741.31 / $1,288.25	Professional		$501.19	$741.31	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $4,365.16	Professional		$512.86	$794.33	$4,365.16
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 $457.09 / $602.56 / $1,071.52	Professional		$457.09	$602.56	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $724.44	Professional		$478.63	$616.60	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,174.90	Professional		$616.60	$776.25	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $977.24	Facility		$467.74	$616.60	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $3,162.28	Facility		$436.52	$602.56	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $3,162.28	Professional		$436.52	$602.56	$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 $354.81 / $549.54 / $954.99	Professional		$354.81	$549.54	$954.99