Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,630.78 / $8,317.64	Facility		$478.63	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $1,096.48	Professional		$380.19	$446.68	$1,096.48
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 $426.58 / $616.60 / $1,071.52	Professional		$426.58	$616.60	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $6,760.83	Professional		$436.52	$588.84	$6,760.83
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 $407.38 / $524.81 / $891.25	Professional		$407.38	$524.81	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $630.96	Professional		$416.87	$524.81	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,000.00	Professional		$575.44	$707.95	$1,000.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $549.54 / $851.14	Facility		$416.87	$549.54	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Sentara Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $562.34 / $3,162.28	Facility		$407.38	$562.34	$3,162.28
Sentara Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $3,162.28	Professional		$407.38	$562.34	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,388.44 / $5,754.40	Facility		$1,737.80	$3,388.44	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $870.96	Professional		$323.59	$512.86	$870.96