Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,630.27 / $8,317.64	Facility		$457.09	$2,630.27	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $870.96 / $2,290.87	Professional		$371.54	$870.96	$2,290.87
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 $398.11 / $851.14 / $1,548.82	Professional		$398.11	$851.14	$1,548.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $4,897.79	Professional		$380.19	$436.52	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $741.31 / $977.24	Facility		$616.60	$741.31	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $3,548.13	Professional		$389.05	$741.31	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,951.21	Professional		$851.14	$1,122.02	$2,951.21
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $4,677.35	Professional		$3,388.44	$4,168.69	$4,677.35
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $3,890.45	Facility		$416.87	$912.01	$3,890.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $3,311.31	Facility		$380.19	$478.63	$3,311.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,019.95 / $5,128.61	Professional		$977.24	$3,019.95	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $13,803.84	Facility		$1,071.52	$6,025.60	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $776.25 / $3,890.45	Professional		$346.74	$776.25	$3,890.45