Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $562.97 / $1,469.35	Facility		$496.74	$562.97	$1,469.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $543.10 / $562.97	Professional		$496.74	$543.10	$562.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,515.48 / $3,225.50 / $4,073.27	Facility		$2,515.48	$3,225.50	$4,073.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,875.20	Professional		$2,000.00	$2,000.00	$2,875.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $529.86 / $529.86 / $1,033.23	Professional		$529.86	$529.86	$1,033.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.51 / $1,106.41 / $3,393.46	Facility		$430.51	$1,106.41	$3,393.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $806.83 / $806.83 / $966.67	Professional		$806.83	$806.83	$966.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $794.78 / $980.23	Professional		$662.32	$794.78	$980.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $662.32 / $1,125.94	Facility		$496.74	$662.32	$1,125.94
Medcost Facility/Professional Professional Modifier Low / Median / High Price $430.51 / $430.51 / $430.51	Professional		$430.51	$430.51	$430.51
Sentara Facility/Professional Facility Modifier Low / Median / High Price $463.62 / $753.06 / $1,229.66	Facility		$463.62	$753.06	$1,229.66
Sentara Facility/Professional Professional Modifier Low / Median / High Price $463.62 / $761.67 / $1,225.29	Professional		$463.62	$761.67	$1,225.29
United Facility/Professional Professional Modifier Low / Median / High Price $278.17 / $331.16 / $761.67	Professional		$278.17	$331.16	$761.67