Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,630.78 / $9,549.93	Facility		$676.08	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $1,148.15	Professional		$478.63	$616.60	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,709.64 / $12,302.69	Facility		$5,888.44	$8,709.64	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,122.02	Professional		$549.54	$741.31	$1,122.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $870.96	Professional		$575.44	$645.65	$870.96
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 $436.52 / $616.60 / $1,122.02	Professional		$436.52	$616.60	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,122.02	Professional		$549.54	$676.08	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $977.24	Professional		$588.84	$645.65	$977.24
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $1,096.48	Facility		$524.81	$724.44	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $977.24	Professional		$616.60	$616.60	$977.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $630.96 / $1,862.09	Facility		$489.78	$630.96	$1,862.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,862.09	Professional		$489.78	$630.96	$1,862.09
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 $416.87 / $602.56 / $1,047.13	Professional		$416.87	$602.56	$1,047.13