Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $812.83 / $5,248.07	Facility		$489.78	$812.83	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,071.52	Professional		$416.87	$524.81	$1,071.52
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 $446.68 / $645.65 / $1,122.02	Professional		$446.68	$645.65	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $2,511.89	Professional		$489.78	$676.08	$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 $446.68 / $588.84 / $1,023.29	Professional		$446.68	$588.84	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $870.96	Professional		$562.34	$724.44	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,148.15	Professional		$630.96	$794.33	$1,148.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $954.99	Facility		$457.09	$602.56	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $575.44 / $2,290.87	Facility		$407.38	$575.44	$2,290.87
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $2,344.23	Professional		$457.09	$630.96	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $3,981.07	Facility		$1,071.52	$2,137.96	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $912.01	Professional		$346.74	$549.54	$912.01