Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,630.78 / $9,549.93	Facility		$275.42	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $269.15 / $512.86	Professional		$218.78	$269.15	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $478.63	Professional		$229.09	$309.03	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $354.81	Professional		$234.42	$257.04	$354.81
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 $234.42 / $302.00 / $489.78	Professional		$234.42	$302.00	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $407.38	Professional		$204.17	$251.19	$407.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $363.08 / $501.19	Professional		$346.74	$363.08	$501.19
Medcost Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $501.19	Facility		$239.88	$323.59	$501.19
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $537.03	Professional		$245.47	$245.47	$537.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $302.00 / $1,174.90	Facility		$234.42	$302.00	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $1,174.90	Professional		$234.42	$302.00	$1,174.90
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 $190.55 / $281.84 / $478.63	Professional		$190.55	$281.84	$478.63