Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,630.78 / $8,317.64	Facility		$501.19	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $1,071.52	Professional		$363.08	$457.09	$1,071.52
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 $407.38 / $549.54 / $851.14	Professional		$407.38	$549.54	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $2,630.27	Professional		$407.38	$467.74	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $616.60 / $831.76	Facility		$426.58	$616.60	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $831.76	Professional		$363.08	$489.78	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $812.83	Professional		$398.11	$489.78	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $851.14	Professional		$478.63	$512.86	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $831.76	Facility		$407.38	$537.03	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $758.58	Professional		$524.81	$524.81	$758.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $489.78 / $1,819.70	Facility		$389.05	$489.78	$1,819.70
Sentara Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,819.70	Professional		$389.05	$489.78	$1,819.70
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 $323.59 / $457.09 / $776.25	Professional		$323.59	$457.09	$776.25