Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.17 / $947.87 / $1,529.59	Facility		$363.17	$947.87	$1,529.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.45 / $363.17 / $363.17	Professional		$320.45	$363.17	$363.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.73 / $2,080.76 / $2,627.65	Facility		$1,622.73	$2,080.76	$2,627.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $56.97 / $95.10	Professional		$56.97	$56.97	$95.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $341.81 / $384.53 / $749.83	Professional		$341.81	$384.53	$749.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.72 / $798.37 / $2,189.06	Facility		$277.72	$798.37	$2,189.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.95 / $520.52 / $623.64	Professional		$249.95	$520.52	$623.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $512.71 / $632.34	Professional		$427.26	$512.71	$632.34
Medcost Facility/Professional Facility Modifier Low / Median / High Price $355.70 / $491.35 / $767.79	Facility		$355.70	$491.35	$767.79
Medcost Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $845.97 / $1,025.42	Professional		$504.00	$845.97	$1,025.42
Sentara Facility/Professional Facility Modifier Low / Median / High Price $299.08 / $427.26 / $685.33	Facility		$299.08	$427.26	$685.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $299.08 / $427.26 / $685.33	Professional		$299.08	$427.26	$685.33
United Facility/Professional Facility Modifier Low / Median / High Price $384.53 / $427.26 / $640.89	Facility		$384.53	$427.26	$640.89
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $213.63 / $491.35	Professional		$179.45	$213.63	$491.35