Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $888.26 / $1,675.44	Facility		$351.00	$888.26	$1,675.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $397.80 / $1,500.00	Professional		$351.00	$397.80	$1,500.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $468.00 / $2,300.21	Facility		$468.00	$468.00	$2,300.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $187.20 / $304.20	Professional		$187.20	$187.20	$304.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $1,095.11 / $12,859.00	Professional		$561.60	$1,095.11	$12,859.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.20 / $1,031.42 / $2,397.08	Facility		$304.20	$1,031.42	$2,397.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $284.07 / $761.63	Professional		$220.67	$284.07	$761.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $561.60 / $692.64	Professional		$468.00	$561.60	$692.64
Medcost Facility/Professional Facility Modifier Low / Median / High Price $389.61 / $538.20 / $795.60	Facility		$389.61	$538.20	$795.60
Medcost Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $641.00 / $1,123.20	Professional		$468.00	$641.00	$1,123.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $383.76 / $562.54 / $4,071.00	Facility		$383.76	$562.54	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $383.76 / $562.54 / $4,071.00	Professional		$383.76	$562.54	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $243.36 / $538.20	Professional		$196.56	$243.36	$538.20