Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $741.31 / $1,513.56	Facility		$257.04	$741.31	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $457.09 / $676.08	Professional		$208.93	$457.09	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $2,398.83	Facility		$602.56	$602.56	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $316.23	Professional		$181.97	$181.97	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $537.03	Professional		$457.09	$489.78	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,174.90 / $3,090.30	Facility		$501.19	$1,174.90	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Professional		$724.44	$724.44	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $831.76	Professional		$602.56	$660.69	$831.76
Medcost Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $512.86 / $831.76	Facility		$269.15	$512.86	$831.76
Medcost Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,258.93	Professional		$389.05	$602.56	$1,258.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $1,174.90	Facility		$416.87	$602.56	$1,174.90
Sentara Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,174.90	Professional		$416.87	$602.56	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $602.56 / $724.44	Facility		$181.97	$602.56	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $346.74	Professional		$125.89	$151.36	$346.74