Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,168.69 / $8,317.64	Facility		$575.44	$4,168.69	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,230.27	Professional		$436.52	$602.56	$1,230.27
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 / $891.25	Professional		$426.58	$616.60	$891.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $933.25 / $1,318.26	Professional	50	$645.65	$933.25	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $2,884.03 / $4,466.84	Professional		$426.58	$2,884.03	$4,466.84
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 $380.19 / $676.08 / $851.14	Professional		$380.19	$676.08	$851.14
Medcost Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $870.96	Professional		$812.83	$851.14	$870.96
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 $398.11 / $588.84 / $8,709.64	Facility		$398.11	$588.84	$8,709.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $8,709.64	Professional		$524.81	$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 $346.74 / $512.86 / $933.25	Professional		$346.74	$512.86	$933.25