Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.87 / $675.32 / $1,762.59	Facility		$595.87	$675.32	$1,762.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.87 / $651.48 / $675.32	Professional		$595.87	$651.48	$675.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,017.47 / $3,869.17 / $4,886.10	Facility		$3,017.47	$3,869.17	$4,886.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $239.16 / $405.85	Professional		$239.16	$239.16	$405.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $635.59 / $635.59 / $1,239.40	Professional		$635.59	$635.59	$1,239.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.41 / $1,327.20 / $4,069.46	Facility		$516.41	$1,327.20	$4,069.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $967.49 / $967.49 / $1,159.17	Professional		$967.49	$967.49	$1,159.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $953.39 / $1,175.84	Professional		$794.49	$953.39	$1,175.84
Medcost Facility/Professional Facility Modifier Low / Median / High Price $595.87 / $794.49 / $1,350.64	Facility		$595.87	$794.49	$1,350.64
Medcost Facility/Professional Professional Modifier Low / Median / High Price $516.41 / $516.41 / $516.41	Professional		$516.41	$516.41	$516.41
Sentara Facility/Professional Facility Modifier Low / Median / High Price $556.14 / $881.73 / $1,475.05	Facility		$556.14	$881.73	$1,475.05
Sentara Facility/Professional Professional Modifier Low / Median / High Price $556.14 / $913.66 / $1,469.81	Professional		$556.14	$913.66	$1,469.81
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $452.86 / $913.66	Professional		$333.69	$452.86	$913.66