Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,011.87 / $8,317.64	Facility		$645.65	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,479.11	Professional		$524.81	$645.65	$1,479.11
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 $549.54 / $831.76 / $1,412.54	Professional		$549.54	$831.76	$1,412.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $5,495.41	Professional		$562.34	$870.96	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,202.26	Professional		$549.54	$776.25	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $776.25	Professional		$524.81	$645.65	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $1,318.26	Professional		$812.83	$1,023.29	$1,318.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $1,174.90	Facility		$537.03	$758.58	$1,174.90
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 $549.54 / $758.58 / $6,918.31	Facility		$549.54	$758.58	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $6,918.31	Professional		$549.54	$758.58	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,079.46 / $14,125.38	Facility		$3,715.35	$7,079.46	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,148.15	Professional		$446.68	$691.83	$1,148.15