Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.08 / $888.89 / $1,159.25	Facility		$398.08	$888.89	$1,159.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $398.08 / $398.08	Professional		$351.25	$398.08	$398.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.72 / $2,280.77 / $2,880.23	Facility		$1,778.72	$2,280.77	$2,880.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $300.89	Professional		$187.20	$187.20	$300.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $374.66 / $421.50 / $821.92	Professional		$374.66	$421.50	$821.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.41 / $871.64 / $2,398.77	Facility		$304.41	$871.64	$2,398.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.42 / $570.42 / $683.44	Professional		$570.42	$570.42	$683.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $562.00 / $693.13	Professional		$468.33	$562.00	$693.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $372.33 / $468.33 / $796.16	Facility		$372.33	$468.33	$796.16
Medcost Facility/Professional Professional Modifier Low / Median / High Price $642.00 / $927.29 / $1,123.99	Professional		$642.00	$927.29	$1,123.99
Sentara Facility/Professional Facility Modifier Low / Median / High Price $384.03 / $538.58 / $866.41	Facility		$384.03	$538.58	$866.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $333.92 / $532.49 / $885.14	Professional		$333.92	$532.49	$885.14
United Facility/Professional Professional Modifier Low / Median / High Price $196.70 / $243.53 / $538.58	Professional		$196.70	$243.53	$538.58