Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $5,128.61 / $14,791.08	Facility		$645.65	$5,128.61	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,258.93	Professional		$489.78	$602.56	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,466.84	Facility		$3,090.30	$3,981.07	$4,466.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,445.44	Professional		$562.34	$831.76	$1,445.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $3,548.13	Professional		$588.84	$851.14	$3,548.13
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 $549.54 / $691.83 / $1,230.27	Professional		$549.54	$691.83	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $812.83	Professional		$537.03	$676.08	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,318.26	Professional		$724.44	$912.01	$1,318.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Facility		$537.03	$724.44	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $7,413.10	Facility		$512.86	$707.95	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $7,413.10	Professional		$512.86	$707.95	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,332.54 / $19,054.61	Facility		$5,495.41	$9,332.54	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,122.02	Professional		$426.58	$645.65	$1,122.02