Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.71 / $983.70 / $1,397.26	Facility		$388.71	$983.70	$1,397.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.71 / $440.54 / $461.27	Professional		$388.71	$440.54	$461.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.28 / $518.28 / $2,547.35	Facility		$518.28	$518.28	$2,547.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $336.88	Professional		$207.31	$207.31	$336.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $1,010.65 / $2,280.42	Professional		$518.28	$1,010.65	$2,280.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $336.88 / $964.35 / $2,655.39	Facility		$336.88	$964.35	$2,655.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.26 / $320.22 / $850.69	Professional		$252.26	$320.22	$850.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $621.94 / $767.05	Professional		$518.28	$621.94	$767.05
Medcost Facility/Professional Facility Modifier Low / Median / High Price $412.03 / $518.28 / $881.08	Facility		$412.03	$518.28	$881.08
Medcost Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $710.00 / $1,243.86	Professional		$510.00	$710.00	$1,243.86
Sentara Facility/Professional Facility Modifier Low / Median / High Price $429.84 / $564.92 / $4,071.00	Facility		$429.84	$564.92	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $429.84 / $589.28 / $4,071.00	Professional		$429.84	$589.28	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.68 / $259.14 / $596.02	Professional		$217.68	$259.14	$596.02