Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,380.38 / $1,778.28	Facility		$537.03	$1,380.38	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $707.95	Professional		$478.63	$562.34	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,570.88	Facility		$2,884.03	$3,801.89	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $446.68	Professional		$257.04	$257.04	$446.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $588.84 / $660.69	Professional		$562.34	$588.84	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,778.28 / $3,715.35	Facility		$741.31	$1,778.28	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,047.13	Professional		$891.25	$891.25	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,023.29	Professional		$724.44	$794.33	$1,023.29
Medcost Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $707.95 / $1,122.02	Facility		$549.54	$707.95	$1,122.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,513.56	Professional		$467.74	$467.74	$1,513.56
Sentara Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $831.76 / $1,479.11	Facility		$512.86	$831.76	$1,479.11
Sentara Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,479.11	Professional		$512.86	$831.76	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $724.44 / $870.96	Facility		$436.52	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $831.76	Professional		$302.00	$363.08	$831.76