Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,630.78 / $8,317.64	Facility		$407.38	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $1,000.00	Professional		$338.84	$407.38	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $691.83	Professional		$338.84	$457.09	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $3,311.31	Professional		$338.84	$407.38	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $870.96 / $977.24	Facility		$426.58	$870.96	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $724.44	Professional		$354.81	$478.63	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $724.44	Professional		$302.00	$363.08	$724.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $812.83	Professional		$549.54	$588.84	$812.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $812.83	Facility		$354.81	$512.86	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $851.14	Professional		$501.19	$501.19	$851.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $478.63 / $1,548.82	Facility		$363.08	$478.63	$1,548.82
Sentara Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $1,548.82	Professional		$363.08	$478.63	$1,548.82
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 $295.12 / $446.68 / $724.44	Professional		$295.12	$446.68	$724.44