Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,168.69 / $8,317.64	Facility		$323.59	$4,168.69	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $912.01	Professional		$204.17	$309.03	$912.01
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 $208.93 / $281.84 / $426.58	Professional		$208.93	$281.84	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $3,311.31	Professional		$204.17	$245.47	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,412.54 / $1,862.09	Facility		$602.56	$1,412.54	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $446.68	Professional		$199.53	$263.03	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $467.74	Professional		$190.55	$229.09	$467.74
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $380.19	Professional		$263.03	$302.00	$380.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $426.58	Facility		$208.93	$275.42	$426.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $1,071.52	Professional		$218.78	$218.78	$1,071.52
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $257.04 / $1,000.00	Facility		$208.93	$257.04	$1,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $1,000.00	Professional		$208.93	$257.04	$1,000.00
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 $162.18 / $239.88 / $407.38	Professional		$162.18	$239.88	$407.38