Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.94 / $516.94 / $1,505.38	Facility		$516.94	$516.94	$1,505.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.13 / $516.94 / $516.94	Professional		$456.13	$516.94	$516.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,309.83 / $2,961.79 / $3,740.25	Facility		$2,309.83	$2,961.79	$3,740.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $113.15 / $188.89	Professional		$113.15	$113.15	$188.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $948.75	Professional		$486.54	$486.54	$948.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $395.31 / $1,340.34 / $3,115.02	Facility		$395.31	$1,340.34	$3,115.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.72 / $740.72 / $887.47	Professional		$740.72	$740.72	$887.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $729.80 / $900.09	Professional		$608.16	$729.80	$900.09
Medcost Facility/Professional Facility Modifier Low / Median / High Price $456.13 / $608.16 / $1,033.88	Facility		$456.13	$608.16	$1,033.88
Medcost Facility/Professional Professional Modifier Low / Median / High Price $718.00 / $1,064.30 / $1,459.61	Professional		$718.00	$1,064.30	$1,459.61
Sentara Facility/Professional Facility Modifier Low / Median / High Price $454.30 / $699.40 / $1,129.13	Facility		$454.30	$699.40	$1,129.13
Sentara Facility/Professional Professional Modifier Low / Median / High Price $454.30 / $699.40 / $1,129.13	Professional		$454.30	$699.40	$1,129.13
United Facility/Professional Facility Modifier Low / Median / High Price $729.80 / $729.80 / $729.80	Facility		$729.80	$729.80	$729.80
United Facility/Professional Professional Modifier Low / Median / High Price $255.43 / $304.08 / $699.40	Professional		$255.43	$304.08	$699.40