Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,630.78 / $8,317.64	Facility		$630.96	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,288.25	Professional		$416.87	$602.56	$1,288.25
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 $426.58 / $630.96 / $1,071.52	Professional		$426.58	$630.96	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $4,365.16	Professional		$457.09	$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 $436.52 / $630.96 / $1,174.90	Professional		$436.52	$630.96	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $912.01	Professional		$602.56	$758.58	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,412.54	Professional		$562.34	$691.83	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,071.52	Facility		$436.52	$660.69	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $6,918.31	Facility		$398.11	$549.54	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $6,918.31	Professional		$489.78	$741.31	$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 $363.08 / $575.44 / $1,071.52	Professional		$363.08	$575.44	$1,071.52