Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.13 / $541.80 / $1,283.68	Facility		$280.13	$541.80	$1,283.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.32 / $2,028.94 / $2,562.21	Facility		$1,582.32	$2,028.94	$2,562.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $599.16	Professional		$416.78	$416.78	$599.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $821.06 / $1,833.83	Professional		$333.42	$821.06	$1,833.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $696.24 / $2,135.39	Facility		$270.91	$696.24	$2,135.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $507.69 / $608.27	Professional		$416.78	$507.69	$608.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $500.14 / $616.83	Professional		$416.78	$500.14	$616.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $533.48 / $762.71	Facility		$416.78	$533.48	$762.71
Medcost Facility/Professional Professional Modifier Low / Median / High Price $618.96 / $729.37 / $1,000.27	Professional		$618.96	$729.37	$1,000.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $347.81 / $450.96 / $773.79	Facility		$347.81	$450.96	$773.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $349.68 / $450.96 / $773.79	Professional		$349.68	$450.96	$773.79
United Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $208.39 / $479.30	Professional		$173.49	$208.39	$479.30