Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,570.40 / $7,079.46	Facility		$338.84	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $602.56	Professional		$245.47	$309.03	$602.56
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 $269.15 / $398.11 / $691.83	Professional		$269.15	$398.11	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $4,365.16	Professional		$288.40	$446.68	$4,365.16
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 $251.19 / $346.74 / $660.69	Professional		$251.19	$346.74	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $512.86	Professional		$338.84	$436.52	$512.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $707.95	Professional		$257.04	$323.59	$707.95
Medcost Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $575.44	Facility		$263.03	$354.81	$575.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Sentara Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $6,918.31	Facility		$218.78	$323.59	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $371.54 / $6,918.31	Professional		$229.09	$371.54	$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 $190.55 / $302.00 / $575.44	Professional		$190.55	$302.00	$575.44