Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.13 / $1,010.41 / $1,467.44	Facility		$387.13	$1,010.41	$1,467.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.43 / $387.13 / $387.13	Professional		$307.43	$387.13	$387.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $409.90 / $2,014.66	Facility		$409.90	$409.90	$2,014.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $80.97 / $130.15	Professional		$80.97	$80.97	$130.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $450.89 / $879.24	Professional		$409.90	$450.89	$879.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.44 / $765.94 / $2,100.15	Facility		$266.44	$765.94	$2,100.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $499.07 / $597.94	Professional		$266.44	$499.07	$597.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $491.88 / $606.65	Professional		$409.90	$491.88	$606.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $341.25 / $501.00 / $818.44	Facility		$341.25	$501.00	$818.44
Medcost Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $811.60 / $983.76	Professional		$484.00	$811.60	$983.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $286.93 / $409.90 / $657.48	Facility		$286.93	$409.90	$657.48
Sentara Facility/Professional Professional Modifier Low / Median / High Price $286.93 / $409.90 / $657.48	Professional		$286.93	$409.90	$657.48
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $227.73 / $455.45	Professional		$172.16	$227.73	$455.45