Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,630.78 / $8,317.64	Facility		$794.33	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $1,513.56	Professional		$588.84	$724.44	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,760.83 / $7,413.10	Facility		$5,888.44	$6,760.83	$7,413.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,318.26	Professional		$645.65	$870.96	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $3,311.31	Professional		$630.96	$758.58	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,548.82 / $1,905.46	Facility		$426.58	$1,548.82	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,318.26	Professional		$562.34	$776.25	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,230.27	Professional		$602.56	$741.31	$1,230.27
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,548.82	Professional		$812.83	$870.96	$1,548.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $1,348.96	Facility		$630.96	$870.96	$1,348.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,288.25	Professional		$851.14	$851.14	$1,288.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $2,630.27	Facility		$630.96	$776.25	$2,630.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $2,630.27	Professional		$630.96	$776.25	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $8,317.64 / $17,378.01	Facility		$1,318.26	$8,317.64	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,258.93	Professional		$512.86	$758.58	$1,258.93