Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,128.61 / $14,791.08	Facility		$562.34	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,096.48	Professional		$426.58	$524.81	$1,096.48
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 $489.78 / $741.31 / $1,258.93	Professional		$489.78	$741.31	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $5,495.41	Professional		$512.86	$794.33	$5,495.41
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 $467.74 / $588.84 / $1,071.52	Professional		$467.74	$588.84	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $724.44	Professional		$478.63	$616.60	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,174.90	Professional		$616.60	$758.58	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $977.24	Facility		$457.09	$616.60	$977.24
Medcost Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $7,413.10	Facility		$436.52	$602.56	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $7,413.10	Professional		$436.52	$602.56	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $9,549.93 / $19,054.61	Facility		$5,623.41	$9,549.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,000.00	Professional		$363.08	$562.34	$1,000.00