Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,230.27 / $5,888.44	Facility		$194.98	$1,230.27	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $676.08 / $1,659.59	Professional		$131.83	$676.08	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,570.40 / $2,951.21	Facility		$2,137.96	$2,570.40	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $602.56 / $1,288.25	Professional		$141.25	$602.56	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $1,659.59	Professional		$120.23	$144.54	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $660.69	Facility		$323.59	$512.86	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $346.74 / $1,445.44	Professional		$141.25	$346.74	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,621.81	Professional		$707.95	$891.25	$1,621.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,862.09	Professional		$1,148.15	$1,445.44	$1,862.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $724.44 / $1,548.82	Facility		$144.54	$724.44	$1,548.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $1,122.02	Facility		$134.90	$177.83	$1,122.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,344.23	Professional		$831.76	$1,122.02	$2,344.23
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 $128.82 / $537.03 / $1,513.56	Professional		$128.82	$537.03	$1,513.56