Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $891.25 / $1,659.59	Facility		$323.59	$891.25	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $416.87	Professional		$281.84	$331.13	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,691.53	Facility		$1,698.24	$2,238.72	$2,691.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $100.00	Professional		$57.54	$57.54	$100.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $389.05	Professional		$331.13	$346.74	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,047.13 / $2,187.76	Facility		$436.52	$1,047.13	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $524.81 / $616.60	Professional		$251.19	$524.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $602.56	Professional		$426.58	$467.74	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $707.95	Facility		$338.84	$478.63	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $891.25	Professional		$275.42	$275.42	$891.25
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $831.76	Facility		$302.00	$426.58	$831.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $426.58 / $831.76	Professional		$302.00	$426.58	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $512.86	Facility		$257.04	$426.58	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $489.78	Professional		$177.83	$213.80	$489.78