Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $851.14 / $1,621.81	Facility		$309.03	$851.14	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $398.11	Professional		$275.42	$323.59	$398.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,621.81	Facility		$407.38	$407.38	$1,621.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $141.25	Professional		$81.28	$81.28	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $416.87	Professional		$354.81	$371.54	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,023.29 / $2,089.30	Facility		$416.87	$1,023.29	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $602.56	Professional		$269.15	$501.19	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $575.44	Professional		$407.38	$446.68	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $501.19 / $707.95	Facility		$323.59	$501.19	$707.95
Medcost Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $851.14	Professional		$295.12	$295.12	$851.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $794.33	Facility		$288.40	$407.38	$794.33
Sentara Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $794.33	Professional		$288.40	$407.38	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $489.78	Facility		$275.42	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $524.81	Professional		$173.78	$229.09	$524.81