Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $3,630.78 / $9,549.93	Facility		$239.88	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $446.68	Professional		$194.98	$234.42	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $6,025.60 / $8,511.38	Facility		$3,890.45	$6,025.60	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $407.38	Professional		$204.17	$269.15	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $239.88 / $323.59	Professional		$213.80	$239.88	$323.59
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 $204.17 / $275.42 / $489.78	Professional		$204.17	$275.42	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $380.19	Professional		$181.97	$218.78	$380.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $416.87	Professional		$288.40	$309.03	$416.87
Medcost Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $436.52	Facility		$208.93	$288.40	$436.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $457.09	Professional		$263.03	$263.03	$457.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $1,023.29	Facility		$208.93	$269.15	$1,023.29
Sentara Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $1,023.29	Professional		$208.93	$269.15	$1,023.29
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 $173.78 / $245.47 / $416.87	Professional		$173.78	$245.47	$416.87