Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.57 / $607.48 / $1,008.52	Facility		$305.57	$607.48	$1,008.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.57 / $346.32 / $346.32	Professional		$305.57	$346.32	$346.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.42 / $1,984.18 / $2,505.69	Facility		$1,547.42	$1,984.18	$2,505.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $163.78	Professional		$98.11	$98.11	$163.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $366.69 / $715.05	Professional		$325.94	$366.69	$715.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.83 / $758.11 / $2,086.73	Facility		$264.83	$758.11	$2,086.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.44 / $496.44 / $594.79	Professional		$496.44	$496.44	$594.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $488.92 / $603.00	Professional		$407.43	$488.92	$603.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.89 / $407.43 / $692.64	Facility		$323.89	$407.43	$692.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $806.71 / $977.83	Professional		$558.00	$806.71	$977.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $334.09 / $468.54 / $753.75	Facility		$334.09	$468.54	$753.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $463.25 / $770.04	Professional		$290.50	$463.25	$770.04
United Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $244.46 / $543.76	Professional		$171.12	$244.46	$543.76