Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $457.09 / $1,023.29	Facility		$177.83	$457.09	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $363.08 / $457.09	Professional		$144.54	$363.08	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,019.95	Facility		$1,949.84	$2,511.89	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $194.98	Professional		$109.65	$109.65	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $389.05 / $436.52	Professional		$371.54	$389.05	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $933.25 / $2,454.71	Facility		$338.84	$933.25	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $707.95	Professional		$588.84	$588.84	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $676.08	Professional		$478.63	$524.81	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $426.58 / $676.08	Facility		$186.21	$426.58	$676.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,023.29	Professional		$128.82	$128.82	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $549.54 / $977.24	Facility		$363.08	$549.54	$977.24
Sentara Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $1,148.15	Professional		$346.74	$562.34	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $478.63 / $575.44	Facility		$123.03	$478.63	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $239.88	Professional		$87.10	$104.71	$239.88