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 / $9,549.93	Facility		$501.19	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $891.25	Professional		$389.05	$478.63	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,220.18 / $15,848.93	Facility		$6,760.83	$11,220.18	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $851.14	Professional		$407.38	$562.34	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $645.65	Professional		$426.58	$467.74	$645.65
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 $380.19 / $537.03 / $851.14	Professional		$380.19	$537.03	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $812.83	Professional		$389.05	$478.63	$812.83
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $549.54 / $776.25	Professional		$512.86	$549.54	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $870.96	Facility		$398.11	$562.34	$870.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $812.83	Professional		$169.82	$169.82	$812.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $524.81 / $1,862.09	Facility		$407.38	$524.81	$1,862.09
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,862.09	Professional		$407.38	$524.81	$1,862.09
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 $338.84 / $501.19 / $851.14	Professional		$338.84	$501.19	$851.14