Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.87 / $1,521.47 / $2,468.98	Facility		$614.87	$1,521.47	$2,468.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.22 / $665.34 / $681.38	Professional		$601.22	$665.34	$681.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $801.62 / $801.62 / $3,903.89	Facility		$801.62	$801.62	$3,903.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.64 / $320.64 / $415.23	Professional		$320.64	$320.64	$415.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $976.26 / $1,492.02 / $2,233.42	Professional		$976.26	$1,492.02	$2,233.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.04 / $1,037.34 / $3,633.94	Facility		$521.04	$1,037.34	$3,633.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $408.82 / $920.99	Professional		$163.88	$408.82	$920.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.94 / $1,002.03 / $1,186.40	Professional		$961.94	$1,002.03	$1,186.40
Medcost Facility/Professional Facility Modifier Low / Median / High Price $276.30 / $583.82 / $681.38	Facility		$276.30	$583.82	$681.38
Medcost Facility/Professional Professional Modifier Low / Median / High Price $376.29 / $453.06 / $810.00	Professional		$376.29	$453.06	$810.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $463.80 / $932.12 / $4,071.00	Facility		$463.80	$932.12	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $463.80 / $951.76 / $4,071.00	Professional		$463.80	$951.76	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.41 / $360.73 / $480.97	Professional		$193.41	$360.73	$480.97