Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $933.25 / $1,202.26	Facility		$363.08	$933.25	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $467.74	Professional		$323.59	$380.19	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,019.95	Facility		$1,949.84	$2,570.40	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $489.78	Professional		$288.40	$288.40	$489.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $436.52	Professional		$371.54	$398.11	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,202.26 / $2,511.89	Facility		$501.19	$1,202.26	$2,511.89
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 $489.78 / $537.03 / $676.08	Professional		$489.78	$537.03	$676.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $467.74 / $758.58	Facility		$363.08	$467.74	$758.58
Medcost Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,023.29	Professional		$316.23	$316.23	$1,023.29
Sentara Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $549.54 / $1,000.00	Facility		$338.84	$549.54	$1,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,000.00	Professional		$338.84	$562.34	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $489.78 / $588.84	Facility		$295.12	$489.78	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $562.34	Professional		$204.17	$245.47	$562.34