Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $794.33 / $1,479.11	Facility		$281.84	$794.33	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $436.52	Professional		$251.19	$295.12	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,513.56	Facility		$380.19	$380.19	$1,513.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,089.30	Professional		$1,258.93	$1,258.93	$2,089.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $346.74	Professional		$295.12	$309.03	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,949.84	Facility		$389.05	$758.58	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $549.54	Professional		$467.74	$467.74	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $537.03	Professional		$380.19	$416.87	$537.03
Medcost Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $588.84	Facility		$281.84	$371.54	$588.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $794.33	Professional		$245.47	$245.47	$794.33
Sentara Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $741.31	Facility		$263.03	$380.19	$741.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $741.31	Professional		$263.03	$380.19	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $457.09	Facility		$229.09	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $436.52	Professional		$158.49	$190.55	$436.52