Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,630.27 / $7,244.36	Facility		$371.54	$2,630.27	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $724.44	Professional		$251.19	$389.05	$724.44
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 $257.04 / $380.19 / $645.65	Professional		$257.04	$380.19	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $3,548.13	Professional		$275.42	$389.05	$3,548.13
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 $263.03 / $398.11 / $724.44	Professional		$263.03	$398.11	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $562.34	Professional		$371.54	$478.63	$562.34
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $912.01	Professional		$389.05	$478.63	$912.01
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $416.87 / $676.08	Facility		$263.03	$416.87	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $338.84 / $3,162.28	Facility		$257.04	$338.84	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $3,162.28	Professional		$338.84	$478.63	$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 $223.87 / $363.08 / $676.08	Professional		$223.87	$363.08	$676.08