Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $5,011.87 / $8,317.64	Facility		$602.56	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,174.90	Professional		$467.74	$575.44	$1,174.90
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 $501.19 / $660.69 / $1,000.00	Professional		$501.19	$660.69	$1,000.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $3,890.45	Professional		$478.63	$549.54	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $1,862.09	Facility		$489.78	$1,412.54	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $977.24	Professional		$436.52	$616.60	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $891.25	Professional		$426.58	$512.86	$891.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $1,000.00	Professional		$676.08	$741.31	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $1,023.29	Facility		$478.63	$660.69	$1,023.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,122.02	Professional		$524.81	$524.81	$1,122.02
Sentara Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $1,905.46	Facility		$512.86	$645.65	$1,905.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,905.46	Professional		$512.86	$645.65	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,884.03 / $5,754.40	Facility		$512.86	$2,884.03	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,000.00	Professional		$407.38	$588.84	$1,000.00