Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,467.37 / $8,317.64	Facility		$436.52	$3,467.37	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $851.14	Professional		$251.19	$407.38	$851.14
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 $281.84 / $446.68 / $724.44	Professional		$281.84	$446.68	$724.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $3,890.45	Professional		$251.19	$281.84	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $295.12 / $616.60	Facility		$269.15	$295.12	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $707.95	Professional		$269.15	$407.38	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $851.14	Professional		$416.87	$512.86	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $549.54	Professional		$398.11	$416.87	$549.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $724.44	Facility		$269.15	$436.52	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $645.65	Professional		$275.42	$275.42	$645.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $1,230.27	Facility		$263.03	$316.23	$1,230.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,737.80	Professional		$354.81	$478.63	$1,737.80
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 $229.09 / $371.54 / $630.96	Professional		$229.09	$371.54	$630.96