Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,513.56	Facility		$457.09	$1,148.15	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $575.44	Professional		$407.38	$478.63	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $3,801.89	Facility		$2,454.71	$3,162.28	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $199.53	Professional		$112.20	$112.20	$199.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $549.54	Professional		$467.74	$489.78	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,513.56 / $3,090.30	Facility		$616.60	$1,513.56	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Professional		$741.31	$741.31	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $851.14	Professional		$602.56	$676.08	$851.14
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $954.99	Facility		$457.09	$588.84	$954.99
Medcost Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Sentara Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $691.83 / $1,258.93	Facility		$457.09	$691.83	$1,258.93
Sentara Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,258.93	Professional		$457.09	$691.83	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $724.44	Facility		$363.08	$602.56	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $691.83	Professional		$257.04	$302.00	$691.83