Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $7,079.46	Facility		$660.69	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $1,000.00	Professional		$346.74	$549.54	$1,000.00
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 $389.05 / $588.84 / $1,000.00	Professional		$389.05	$588.84	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $3,548.13	Professional		$407.38	$630.96	$3,548.13
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 $389.05 / $588.84 / $1,122.02	Professional		$389.05	$588.84	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,000.00	Professional		$645.65	$831.76	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $1,479.11	Professional		$489.78	$616.60	$1,479.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $602.56 / $1,000.00	Facility		$371.54	$602.56	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $6,918.31	Facility		$338.84	$467.74	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $6,918.31	Professional		$446.68	$707.95	$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 $302.00 / $524.81 / $1,023.29	Professional		$302.00	$524.81	$1,023.29