Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,630.78 / $9,549.93	Facility		$741.31	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $1,318.26	Professional		$575.44	$691.83	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $19,054.61 / $26,302.68	Facility		$8,511.38	$19,054.61	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,230.27	Professional		$616.60	$812.83	$1,230.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $954.99	Professional		$616.60	$691.83	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $616.60	Facility		$489.78	$524.81	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,230.27	Professional		$537.03	$776.25	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,047.13	Professional		$537.03	$645.65	$1,047.13
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $933.25 / $1,445.44	Professional		$851.14	$933.25	$1,445.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $831.76 / $1,318.26	Facility		$616.60	$831.76	$1,318.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,412.54	Professional		$954.99	$954.99	$1,412.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $1,949.84	Facility		$630.96	$776.25	$1,949.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,949.84	Professional		$630.96	$776.25	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,019.95 / $6,309.57	Facility		$407.38	$3,019.95	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,230.27	Professional		$489.78	$724.44	$1,230.27