Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.76 / $1,938.00 / $6,827.70	Facility		$463.76	$1,938.00	$6,827.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.16 / $390.98 / $513.73	Professional		$279.16	$390.98	$513.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,735.00 / $2,390.00 / $2,954.00	Facility		$1,735.00	$2,390.00	$2,954.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.01 / $414.59 / $636.27	Professional		$283.01	$414.59	$636.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.61 / $308.00 / $597.15	Professional		$275.61	$308.00	$597.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.48 / $340.00 / $610.00	Facility		$276.48	$340.00	$610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.87 / $443.05 / $761.50	Professional		$304.87	$443.05	$761.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $404.46 / $506.70 / $713.75	Professional		$404.46	$506.70	$713.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $324.69 / $464.59 / $726.84	Facility		$324.69	$464.59	$726.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $561.00 / $791.00	Professional		$468.00	$561.00	$791.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $295.91 / $371.01 / $656.56	Facility		$295.91	$371.01	$656.56
Sentara Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $501.41 / $942.49	Professional		$375.95	$501.41	$942.49
United Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $503.00 / $2,117.00	Facility		$85.00	$503.00	$2,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $464.62 / $812.15	Professional		$319.20	$464.62	$812.15