Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,467.37 / $10,471.29	Facility		$549.54	$3,467.37	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,071.52	Professional		$331.13	$524.81	$1,071.52
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 $354.81 / $524.81 / $891.25	Professional		$354.81	$524.81	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $4,365.16	Professional		$389.05	$562.34	$4,365.16
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 $363.08 / $549.54 / $1,000.00	Professional		$363.08	$549.54	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $776.25	Professional		$512.86	$660.69	$776.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $1,230.27	Professional		$562.34	$707.95	$1,230.27
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $912.01	Facility		$371.54	$562.34	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Sentara Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $467.74 / $6,918.31	Facility		$346.74	$467.74	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $6,918.31	Professional		$446.68	$645.65	$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 $309.03 / $501.19 / $891.25	Professional		$309.03	$501.19	$891.25