Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.24 / $843.03 / $1,432.60	Facility		$721.24	$843.03	$1,432.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $285.00 / $311.60	Professional		$285.00	$285.00	$311.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $380.00 / $1,867.70	Facility		$380.00	$380.00	$1,867.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,246.40 / $1,791.82	Professional		$1,246.40	$1,246.40	$1,791.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $304.00 / $592.79	Professional		$304.00	$304.00	$592.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $710.05 / $1,947.49	Facility		$247.00	$710.05	$1,947.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $463.17 / $554.92	Professional		$463.17	$463.17	$554.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $456.00 / $562.40	Professional		$380.00	$456.00	$562.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.10 / $380.00 / $591.09	Facility		$302.10	$380.00	$591.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $448.00 / $752.40 / $912.00	Professional		$448.00	$752.40	$912.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $380.00 / $609.52	Facility		$266.00	$380.00	$609.52
Sentara Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $380.00 / $609.52	Professional		$266.00	$380.00	$609.52
United Facility/Professional Facility Modifier Low / Median / High Price $228.00 / $380.00 / $456.00	Facility		$228.00	$380.00	$456.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $197.60 / $437.00	Professional		$159.60	$197.60	$437.00