Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,090.30 / $7,079.46	Facility		$389.05	$3,090.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $4,677.35	Professional		$263.03	$562.34	$4,677.35
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 $263.03 / $354.81 / $588.84	Professional		$263.03	$354.81	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $1,737.80	Professional		$257.04	$295.12	$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 $302.00 / $602.56 / $4,365.16	Professional		$302.00	$602.56	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $5,370.32	Professional		$2,187.76	$3,162.28	$5,370.32
Medcost Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $707.95 / $4,570.88	Facility		$288.40	$707.95	$4,570.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $398.11 / $1,174.90	Facility		$275.42	$398.11	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,454.71 / $6,165.95	Professional		$616.60	$2,454.71	$6,165.95
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 $257.04 / $562.34 / $4,265.80	Professional		$257.04	$562.34	$4,265.80