Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,467.37 / $8,912.51	Facility		$660.69	$3,467.37	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,778.28	Professional		$446.68	$660.69	$1,778.28
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 $501.19 / $741.31 / $1,258.93	Professional		$501.19	$741.31	$1,258.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $5,370.32	Professional		$549.54	$741.31	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $602.56 / $1,071.52	Professional		$467.74	$602.56	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $676.08	Professional		$457.09	$575.44	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,174.90	Professional		$602.56	$758.58	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $1,000.00	Facility		$467.74	$645.65	$1,000.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $645.65 / $6,918.31	Facility		$457.09	$645.65	$6,918.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $6,918.31	Professional		$457.09	$645.65	$6,918.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $13,803.84	Facility		$3,630.78	$7,079.46	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,000.00	Professional		$363.08	$562.34	$1,000.00