Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.97 / $411.24 / $1,162.40	Facility		$405.97	$411.24	$1,162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.27 / $405.97 / $411.24	Professional		$370.27	$405.97	$411.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,220.65 / $1,542.25 / $2,013.97	Facility		$1,220.65	$1,542.25	$2,013.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.77 / $465.60 / $655.96	Professional		$341.77	$465.60	$655.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $471.05 / $646.46 / $959.17	Professional		$471.05	$646.46	$959.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $935.55 / $1,231.89 / $3,590.90	Facility		$935.55	$1,231.89	$3,590.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.33 / $527.46 / $867.23	Professional		$289.33	$527.46	$867.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.85 / $546.62 / $560.11	Professional		$390.85	$546.62	$560.11
Medcost Facility/Professional Facility Modifier Low / Median / High Price $383.78 / $543.62 / $752.57	Facility		$383.78	$543.62	$752.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $565.00 / $800.00	Professional		$47.00	$565.00	$800.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $438.54 / $914.79	Facility		$41.78	$438.54	$914.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $487.56 / $994.04	Professional		$44.76	$487.56	$994.04
United Facility/Professional Professional Modifier Low / Median / High Price $339.18 / $550.15 / $939.23	Professional		$339.18	$550.15	$939.23