Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.61 / $539.61 / $1,571.40	Facility		$539.61	$539.61	$1,571.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $539.61 / $539.61	Professional		$476.13	$539.61	$539.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,411.12 / $3,091.67 / $3,904.27	Facility		$2,411.12	$3,091.67	$3,904.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.13 / $257.13 / $412.64	Professional		$257.13	$257.13	$412.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $507.87 / $507.87 / $990.35	Professional		$507.87	$507.87	$990.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.65 / $1,399.53 / $3,252.58	Facility		$412.65	$1,399.53	$3,252.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $773.56 / $773.56 / $926.81	Professional		$773.56	$773.56	$926.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.84 / $761.81 / $939.56	Professional		$634.84	$761.81	$939.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $476.13 / $634.84 / $1,079.22	Facility		$476.13	$634.84	$1,079.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $412.65 / $412.65 / $412.65	Professional		$412.65	$412.65	$412.65
Sentara Facility/Professional Facility Modifier Low / Median / High Price $474.23 / $730.07 / $1,178.64	Facility		$474.23	$730.07	$1,178.64
Sentara Facility/Professional Professional Modifier Low / Median / High Price $474.23 / $730.07 / $1,178.64	Professional		$474.23	$730.07	$1,178.64
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $317.42 / $730.07	Professional		$266.63	$317.42	$730.07