Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $5,888.44 / $14,791.08	Facility		$489.78	$5,888.44	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $1,096.48	Professional		$389.05	$489.78	$1,096.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $11,220.18 / $12,302.69	Facility		$9,772.37	$11,220.18	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $776.25	Professional		$407.38	$549.54	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $8,317.64	Professional		$467.74	$724.44	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $891.25	Professional		$416.87	$549.54	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,202.26	Professional		$389.05	$478.63	$1,202.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,000.00	Professional		$537.03	$660.69	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $933.25	Facility		$436.52	$602.56	$933.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $575.44 / $10,964.78	Facility		$380.19	$575.44	$10,964.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $10,964.78	Professional		$380.19	$575.44	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $12,882.50 / $29,512.09	Facility		$7,762.47	$12,882.50	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $891.25	Professional		$354.81	$537.03	$891.25