Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,454.71 / $4,365.16	Facility		$954.99	$2,454.71	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,513.56	Professional		$741.31	$977.24	$1,513.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,888.44 / $6,918.31	Facility		$4,466.84	$5,888.44	$6,918.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $512.86	Professional		$288.40	$288.40	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,174.90	Professional		$1,000.00	$1,071.52	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,570.40 / $6,606.93	Facility		$1,318.26	$2,570.40	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,905.46	Professional		$1,584.89	$1,584.89	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,819.70	Professional		$1,318.26	$1,445.44	$1,819.70
Medcost Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,819.70	Facility		$977.24	$1,258.93	$1,819.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,754.23	Professional		$851.14	$851.14	$2,754.23
Sentara Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $2,951.21	Facility		$691.83	$1,445.44	$2,951.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,479.11 / $2,951.21	Professional		$676.08	$1,479.11	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $1,548.82	Facility		$676.08	$1,318.26	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,288.25	Professional		$467.74	$562.34	$1,288.25