Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.92 / $630.92 / $1,837.33	Facility		$630.92	$630.92	$1,837.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.70 / $630.92 / $630.92	Professional		$556.70	$630.92	$630.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,819.14 / $3,614.85 / $4,564.96	Facility		$2,819.14	$3,614.85	$4,564.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.20 / $699.20 / $1,005.16	Professional		$699.20	$699.20	$1,005.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $593.82 / $1,157.95	Professional		$593.82	$593.82	$1,157.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.48 / $1,636.27 / $3,802.75	Facility		$482.48	$1,636.27	$3,802.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.45 / $904.45 / $1,083.64	Professional		$904.45	$904.45	$1,083.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $890.72 / $1,098.56	Professional		$742.27	$890.72	$1,098.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $556.70 / $742.27 / $1,261.85	Facility		$556.70	$742.27	$1,261.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $482.48 / $482.48 / $482.48	Professional		$482.48	$482.48	$482.48
Sentara Facility/Professional Facility Modifier Low / Median / High Price $554.48 / $853.61 / $1,378.10	Facility		$554.48	$853.61	$1,378.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $554.48 / $853.61 / $1,378.10	Professional		$554.48	$853.61	$1,378.10
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $423.09 / $1,010.44	Professional		$311.75	$423.09	$1,010.44