Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,454.71 / $7,943.28	Facility		$616.60	$2,454.71	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $1,380.38	Professional		$436.52	$616.60	$1,380.38
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 $436.52 / $630.96 / $1,096.48	Professional		$436.52	$630.96	$1,096.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $4,365.16	Professional		$467.74	$676.08	$4,365.16
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 $446.68 / $676.08 / $1,174.90	Professional		$446.68	$676.08	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $870.96	Professional		$588.84	$741.31	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,380.38	Professional		$758.58	$954.99	$1,380.38
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $676.08 / $1,122.02	Facility		$446.68	$676.08	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $6,918.31	Facility		$426.58	$602.56	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $6,918.31	Professional		$562.34	$776.25	$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 $389.05 / $630.96 / $1,071.52	Professional		$389.05	$630.96	$1,071.52