Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,819.70 / $7,079.46	Facility		$288.40	$1,819.70	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $758.58 / $1,778.28	Professional		$194.98	$758.58	$1,778.28
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 $213.80 / $660.69 / $1,380.38	Professional		$213.80	$660.69	$1,380.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $2,630.27	Professional		$181.97	$218.78	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $870.96 / $1,148.15	Facility		$323.59	$870.96	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $426.58 / $1,584.89	Professional		$218.78	$426.58	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,949.84	Professional		$724.44	$954.99	$1,949.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,089.30	Professional		$1,318.26	$1,621.81	$2,089.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $794.33 / $1,778.28	Facility		$218.78	$794.33	$1,778.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Sentara Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $1,230.27	Facility		$204.17	$275.42	$1,230.27
Sentara Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,454.71	Professional		$891.25	$1,258.93	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,884.03 / $5,754.40	Facility		$512.86	$2,884.03	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $588.84 / $1,698.24	Professional		$190.55	$588.84	$1,698.24