Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.45 / $627.57 / $1,493.71	Facility		$240.45	$627.57	$1,493.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.45 / $507.38 / $554.73	Professional		$240.45	$507.38	$554.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $676.50 / $3,325.00	Facility		$676.50	$676.50	$3,325.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.15 / $113.15 / $188.89	Professional		$113.15	$113.15	$188.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $541.20 / $1,055.33	Professional		$541.20	$541.20	$1,055.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.73 / $1,258.89 / $3,465.62	Facility		$439.73	$1,258.89	$3,465.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.81 / $418.11 / $987.13	Professional		$334.81	$418.11	$987.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $811.80 / $1,001.22	Professional		$676.50	$811.80	$1,001.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $254.88 / $440.02 / $761.07	Facility		$254.88	$440.02	$761.07
Medcost Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $710.33 / $1,623.60	Professional		$512.00	$710.33	$1,623.60
Sentara Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $376.91 / $4,071.00	Facility		$231.96	$376.91	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $231.96 / $369.16 / $4,071.00	Professional		$231.96	$369.16	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.81 / $141.44 / $325.31	Professional		$118.81	$141.44	$325.31