Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,235.94 / $7,244.36	Facility		$588.84	$3,235.94	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,148.15	Professional		$436.52	$588.84	$1,148.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $478.63 / $478.63 / $478.63	Professional	50	$478.63	$478.63	$478.63
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 $436.52 / $630.96 / $891.25	Professional		$436.52	$630.96	$891.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $933.25 / $1,348.96	Professional	50	$660.69	$933.25	$1,348.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $2,884.03 / $4,365.16	Professional		$426.58	$2,884.03	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,000.00	Professional		$426.58	$616.60	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $851.14	Professional		$389.05	$676.08	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $891.25	Professional		$758.58	$831.76	$891.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,047.13	Facility		$446.68	$645.65	$1,047.13
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $8,709.64	Facility		$416.87	$602.56	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $8,709.64	Professional		$537.03	$741.31	$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 $363.08 / $524.81 / $933.25	Professional		$363.08	$524.81	$933.25