Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $354.26 / $1,031.64	Facility		$312.58	$354.26	$1,031.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $341.76 / $354.26	Professional		$312.58	$341.76	$354.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,582.93 / $2,029.72 / $2,563.19	Facility		$1,582.93	$2,029.72	$2,563.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $29.40	Professional		$17.32	$17.32	$29.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $333.42 / $333.42 / $650.16	Professional		$333.42	$333.42	$650.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $918.83 / $2,135.39	Facility		$270.91	$918.83	$2,135.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.39 / $507.39 / $607.91	Professional		$507.39	$507.39	$607.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $500.14 / $616.83	Professional		$416.78	$500.14	$616.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $312.58 / $416.78 / $708.52	Facility		$312.58	$416.78	$708.52
Medcost Facility/Professional Professional Modifier Low / Median / High Price $270.91 / $270.91 / $270.91	Professional		$270.91	$270.91	$270.91
Sentara Facility/Professional Facility Modifier Low / Median / High Price $311.33 / $479.30 / $773.79	Facility		$311.33	$479.30	$773.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $311.33 / $479.30 / $773.79	Professional		$311.33	$479.30	$773.79
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $208.39 / $479.30	Professional		$175.05	$208.39	$479.30