Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,570.40 / $7,079.46	Facility		$562.34	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $1,122.02	Professional		$446.68	$537.03	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,202.26	Professional		$478.63	$707.95	$1,202.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $2,511.89	Professional		$489.78	$707.95	$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 $478.63 / $630.96 / $1,096.48	Professional		$478.63	$630.96	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $851.14	Professional		$562.34	$707.95	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,202.26	Professional		$660.69	$812.83	$1,202.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,000.00	Facility		$467.74	$645.65	$1,000.00
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 $436.52 / $616.60 / $1,479.11	Facility		$436.52	$616.60	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,479.11	Professional		$478.63	$676.08	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,148.15 / $2,398.83	Facility		$218.78	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $977.24	Professional		$371.54	$588.84	$977.24