Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,630.78 / $8,317.64	Facility		$302.00	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $562.34	Professional		$239.88	$302.00	$562.34
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 $245.47 / $331.13 / $478.63	Professional		$245.47	$331.13	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $4,365.16	Professional		$288.40	$436.52	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $537.03	Professional		$263.03	$354.81	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $288.40 / $741.31	Professional		$97.72	$288.40	$741.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $616.60	Professional		$363.08	$457.09	$616.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $575.44	Facility		$229.09	$371.54	$575.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $3,630.78	Facility		$251.19	$354.81	$3,630.78
Sentara Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $3,630.78	Professional		$251.19	$354.81	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,467.37 / $5,888.44	Facility		$1,819.70	$3,467.37	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $562.34	Professional		$213.80	$346.74	$562.34