Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $776.25 / $1,000.00	Facility		$302.00	$776.25	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $389.05	Professional		$269.15	$316.23	$389.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,570.40	Facility		$1,621.81	$2,137.96	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $173.78	Professional		$97.72	$97.72	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $371.54	Professional		$316.23	$331.13	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $794.33 / $2,089.30	Facility		$416.87	$794.33	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Professional		$501.19	$501.19	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $446.68 / $575.44	Professional		$407.38	$446.68	$575.44
Medcost Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $630.96	Facility		$309.03	$398.11	$630.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $851.14	Professional		$263.03	$263.03	$851.14
Sentara Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $831.76	Facility		$302.00	$467.74	$831.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $977.24	Professional		$288.40	$467.74	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $489.78	Facility		$245.47	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $467.74	Professional		$169.82	$204.17	$467.74