Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,235.94 / $8,317.64	Facility		$275.42	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $512.86 / $3,801.89	Professional		$234.42	$512.86	$3,801.89
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 $257.04 / $630.96 / $3,890.45	Professional		$257.04	$630.96	$3,890.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $1,737.80	Professional		$229.09	$263.03	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $831.76	Facility		$524.81	$645.65	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $537.03 / $4,265.80	Professional		$269.15	$537.03	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,248.07	Professional		$2,137.96	$3,019.95	$5,248.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Medcost Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $4,466.84	Facility		$257.04	$630.96	$4,466.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $1,071.52	Facility		$245.47	$338.84	$1,071.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $2,398.83 / $6,025.60	Professional		$562.34	$2,398.83	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,818.38 / $5,754.40	Facility		$512.86	$2,818.38	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $4,168.69	Professional		$223.87	$478.63	$4,168.69