Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,388.44 / $8,128.31	Facility		$257.04	$3,388.44	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $616.60	Professional		$162.18	$309.03	$616.60
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 $194.98 / $338.84 / $562.34	Professional		$194.98	$338.84	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $3,548.13	Professional		$194.98	$302.00	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $338.84 / $602.56	Professional		$204.17	$338.84	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $426.58 / $1,096.48	Professional		$154.88	$426.58	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $851.14	Professional		$478.63	$602.56	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $346.74 / $602.56	Facility		$181.97	$346.74	$602.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $8,709.64	Facility		$173.78	$251.19	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $8,709.64	Professional		$316.23	$467.74	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,244.36 / $14,125.38	Facility		$3,890.45	$7,244.36	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $616.60	Professional		$162.18	$309.03	$616.60