Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,570.40 / $7,079.46	Facility		$691.83	$2,570.40	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,819.70	Professional		$537.03	$794.33	$1,819.70
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 $524.81 / $758.58 / $1,071.52	Professional		$524.81	$758.58	$1,071.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,290.87 / $3,548.13	Professional		$512.86	$2,290.87	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,318.26	Professional		$512.86	$741.31	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,096.48	Professional		$467.74	$851.14	$1,096.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,047.13	Professional		$724.44	$851.14	$1,047.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,230.27	Facility		$524.81	$794.33	$1,230.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $707.95 / $8,709.64	Facility		$478.63	$707.95	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $8,709.64	Professional		$602.56	$954.99	$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 $416.87 / $630.96 / $1,202.26	Professional		$416.87	$630.96	$1,202.26