Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $977.24 / $7,079.46	Facility		$549.54	$977.24	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $1,174.90	Professional		$457.09	$562.34	$1,174.90
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 $501.19 / $724.44 / $1,230.27	Professional		$501.19	$724.44	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $3,548.13	Professional		$501.19	$724.44	$3,548.13
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 $489.78 / $645.65 / $1,148.15	Professional		$489.78	$645.65	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $891.25	Professional		$588.84	$758.58	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,258.93	Professional		$676.08	$851.14	$1,258.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $660.69 / $1,047.13	Facility		$501.19	$660.69	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $3,162.28	Facility		$446.68	$645.65	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $3,162.28	Professional		$501.19	$691.83	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $5,754.40	Facility		$1,737.80	$3,311.31	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,023.29	Professional		$389.05	$602.56	$1,023.29