Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.52 / $359.52 / $1,039.98	Facility		$359.52	$359.52	$1,039.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $359.52 / $367.48 / $510.26	Professional		$359.52	$367.48	$510.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,297.82 / $1,639.75 / $2,141.29	Facility		$1,297.82	$1,639.75	$2,141.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.31 / $486.21 / $681.84	Professional		$380.31	$486.21	$681.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $419.09 / $419.09 / $1,043.13	Professional		$419.09	$419.09	$1,043.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.63 / $514.09 / $1,430.64	Facility		$216.63	$514.09	$1,430.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.18 / $477.54 / $1,006.79	Professional		$311.18	$477.54	$1,006.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $420.17 / $567.53 / $596.15	Professional		$420.17	$567.53	$596.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $361.00 / $530.29 / $725.92	Facility		$361.00	$530.29	$725.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $242.00 / $324.50 / $587.00	Professional		$242.00	$324.50	$587.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $336.71 / $761.69	Facility		$195.11	$336.71	$761.69
Sentara Facility/Professional Professional Modifier Low / Median / High Price $187.30 / $408.27 / $900.78	Professional		$187.30	$408.27	$900.78
United Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $469.10 / $701.88	Professional		$301.82	$469.10	$701.88