Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $645.19 / $1,878.86	Facility		$569.29	$645.19	$1,878.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $622.41 / $645.19	Professional		$569.29	$622.41	$645.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,882.87 / $3,696.57 / $4,668.16	Facility		$2,882.87	$3,696.57	$4,668.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $759.05	Professional		$500.00	$500.00	$759.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $607.24 / $607.24 / $1,184.11	Professional		$607.24	$607.24	$1,184.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $1,673.08 / $3,888.32	Facility		$493.38	$1,673.08	$3,888.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.59 / $924.59 / $1,107.77	Professional		$924.59	$924.59	$1,107.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $910.86 / $1,123.39	Professional		$759.05	$910.86	$1,123.39
Medcost Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $759.05 / $1,290.38	Facility		$569.29	$759.05	$1,290.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $896.00 / $1,328.34 / $1,821.72	Professional		$896.00	$1,328.34	$1,821.72
Sentara Facility/Professional Facility Modifier Low / Median / High Price $567.01 / $872.91 / $1,409.25	Facility		$567.01	$872.91	$1,409.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $567.01 / $872.91 / $1,409.25	Professional		$567.01	$872.91	$1,409.25
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $379.53 / $872.91	Professional		$318.80	$379.53	$872.91