Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.14 / $678.14 / $1,972.90	Facility		$678.14	$678.14	$1,972.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.04 / $678.14 / $1,045.18	Professional		$678.04	$678.14	$1,045.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,416.19 / $3,052.78 / $3,986.51	Facility		$2,416.19	$3,052.78	$3,986.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.91 / $902.45 / $1,265.56	Professional		$705.91	$902.45	$1,265.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $780.63 / $780.63 / $2,217.53	Professional		$780.63	$780.63	$2,217.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.58 / $890.16 / $1,729.13	Facility		$324.58	$890.16	$1,729.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.80 / $942.40 / $1,915.51	Professional		$635.80	$942.40	$1,915.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $784.61 / $1,052.51 / $1,105.58	Professional		$784.61	$1,052.51	$1,105.58
Medcost Facility/Professional Facility Modifier Low / Median / High Price $713.79 / $1,022.49 / $1,356.28	Facility		$713.79	$1,022.49	$1,356.28
Medcost Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $688.00 / $1,136.00	Professional		$360.00	$688.00	$1,136.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $309.05 / $662.91 / $1,422.79	Facility		$309.05	$662.91	$1,422.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $309.17 / $776.30 / $1,676.62	Professional		$309.17	$776.30	$1,676.62
United Facility/Professional Professional Modifier Low / Median / High Price $584.41 / $883.66 / $1,312.94	Professional		$584.41	$883.66	$1,312.94