Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,047.13 / $2,511.89	Facility		$380.19	$1,047.13	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $2,089.30	Professional		$354.81	$446.68	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $831.76	Professional		$398.11	$588.84	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,548.82	Professional		$416.87	$691.83	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $29,512.09 / $44,668.36	Facility		$524.81	$29,512.09	$44,668.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,000.00	Professional		$354.81	$562.34	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $616.60	Professional		$416.87	$562.34	$616.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $870.96	Professional		$575.44	$630.96	$870.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $588.84 / $912.01	Facility		$380.19	$588.84	$912.01
Medcost Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Sentara Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $562.34 / $7,413.10	Facility		$389.05	$562.34	$7,413.10
Sentara Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $7,413.10	Professional		$389.05	$562.34	$7,413.10
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $478.63 / $549.54	Facility		$251.19	$478.63	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $812.83	Professional		$309.03	$524.81	$812.83