Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.56 / $923.45 / $1,204.33	Facility		$413.56	$923.45	$1,204.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.91 / $413.56 / $413.56	Professional		$364.91	$413.56	$413.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,847.88 / $2,369.44 / $2,992.22	Facility		$1,847.88	$2,369.44	$2,992.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $461.59	Professional		$288.83	$288.83	$461.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $389.23 / $447.62 / $872.86	Professional		$389.23	$447.62	$872.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.25 / $1,072.56 / $2,492.69	Facility		$316.25	$1,072.56	$2,492.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $592.75 / $592.75 / $710.19	Professional		$592.75	$592.75	$710.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $583.85 / $720.08	Professional		$486.54	$583.85	$720.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $386.80 / $486.54 / $827.12	Facility		$386.80	$486.54	$827.12
Medcost Facility/Professional Professional Modifier Low / Median / High Price $667.00 / $963.35 / $1,167.70	Professional		$667.00	$963.35	$1,167.70
Sentara Facility/Professional Facility Modifier Low / Median / High Price $340.58 / $539.96 / $903.31	Facility		$340.58	$539.96	$903.31
Sentara Facility/Professional Professional Modifier Low / Median / High Price $340.58 / $553.20 / $903.31	Professional		$340.58	$553.20	$903.31
United Facility/Professional Facility Modifier Low / Median / High Price $583.85 / $583.85 / $583.85	Facility		$583.85	$583.85	$583.85
United Facility/Professional Professional Modifier Low / Median / High Price $204.35 / $253.00 / $559.52	Professional		$204.35	$253.00	$559.52