Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $575.44	Facility		$512.86	$512.86	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $660.69	Professional		$457.09	$537.03	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $2,754.23	Facility		$676.08	$676.08	$2,754.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $134.90	Professional		$77.62	$77.62	$134.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $616.60	Professional		$524.81	$549.54	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $3,467.37	Facility		$691.83	$1,348.96	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,000.00	Professional		$831.76	$831.76	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $758.58 / $954.99	Professional		$676.08	$758.58	$954.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $660.69 / $1,071.52	Facility		$512.86	$660.69	$1,071.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,445.44	Professional		$446.68	$446.68	$1,445.44
Sentara Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $741.31 / $1,737.80	Facility		$354.81	$741.31	$1,737.80
Sentara Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $776.25 / $1,737.80	Professional		$354.81	$776.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $676.08 / $812.83	Facility		$407.38	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $776.25	Professional		$288.40	$338.84	$776.25