Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.20 / $476.20 / $1,382.47	Facility		$476.20	$476.20	$1,382.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.20 / $481.39 / $739.34	Professional		$476.20	$481.39	$739.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,703.92 / $2,152.86 / $2,811.33	Facility		$1,703.92	$2,152.86	$2,811.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $499.67 / $638.79 / $895.82	Professional		$499.67	$638.79	$895.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $551.87 / $551.87 / $1,573.44	Professional		$551.87	$551.87	$1,573.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.58 / $626.79 / $1,430.64	Facility		$248.58	$626.79	$1,430.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.90 / $664.94 / $1,334.32	Professional		$447.90	$664.94	$1,334.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.58 / $742.91 / $780.36	Professional		$552.58	$742.91	$780.36
Medcost Facility/Professional Facility Modifier Low / Median / High Price $504.77 / $723.30 / $961.48	Facility		$504.77	$723.30	$961.48
Medcost Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $458.00 / $801.00	Professional		$280.00	$458.00	$801.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $238.90 / $451.86 / $1,009.49	Facility		$238.90	$451.86	$1,009.49
Sentara Facility/Professional Professional Modifier Low / Median / High Price $239.45 / $547.85 / $1,186.18	Professional		$239.45	$547.85	$1,186.18
United Facility/Professional Professional Modifier Low / Median / High Price $416.15 / $651.73 / $946.89	Professional		$416.15	$651.73	$946.89