Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $2,754.23 / $7,244.36	Facility		$331.13	$2,754.23	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $575.44 / $1,445.44	Professional		$229.09	$575.44	$1,445.44
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 $245.47 / $575.44 / $1,348.96	Professional		$245.47	$575.44	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $257.04 / $1,659.59	Professional		$218.78	$257.04	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $645.65 / $831.76	Facility		$489.78	$645.65	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $602.56 / $1,513.56	Professional		$245.47	$602.56	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,584.89	Professional		$831.76	$1,071.52	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $602.56 / $1,412.54	Facility		$245.47	$602.56	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Sentara Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $316.23 / $2,454.71	Facility		$234.42	$316.23	$2,454.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $3,311.31	Professional		$794.33	$1,047.13	$3,311.31
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 $218.78 / $575.44 / $1,288.25	Professional		$218.78	$575.44	$1,288.25