Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,630.78 / $9,549.93	Facility		$724.44	$3,630.78	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,230.27	Professional		$537.03	$660.69	$1,230.27
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 $588.84 / $794.33 / $1,202.26	Professional		$588.84	$794.33	$1,202.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $5,128.61	Professional		$602.56	$724.44	$5,128.61
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 $549.54 / $741.31 / $1,202.26	Professional		$549.54	$741.31	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $1,122.02	Professional		$562.34	$691.83	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,412.54	Professional		$831.76	$954.99	$1,412.54
Medcost Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,258.93	Facility		$602.56	$812.83	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,445.44	Professional		$870.96	$870.96	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $741.31 / $1,905.46	Facility		$588.84	$741.31	$1,905.46
Sentara Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,905.46	Professional		$588.84	$741.31	$1,905.46
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 $478.63 / $707.95 / $1,202.26	Professional		$478.63	$707.95	$1,202.26