Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.05 / $766.01 / $1,444.85	Facility		$343.05	$766.01	$1,444.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $343.05 / $359.20	Professional		$302.69	$343.05	$359.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $403.59 / $403.59 / $1,983.64	Facility		$403.59	$403.59	$1,983.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $161.44 / $262.33	Professional		$161.44	$161.44	$262.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $322.87 / $629.60 / $2,149.53	Professional		$322.87	$629.60	$2,149.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.33 / $754.12 / $1,830.33	Facility		$262.33	$754.12	$1,830.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.09 / $244.98 / $666.16	Professional		$179.09	$244.98	$666.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $484.31 / $597.30	Professional		$403.59	$484.31	$597.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $320.85 / $484.83 / $1,379.00	Facility		$320.85	$484.83	$1,379.00
Medcost Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $422.00 / $952.78	Professional		$373.00	$422.00	$952.78
Sentara Facility/Professional Facility Modifier Low / Median / High Price $282.51 / $452.02 / $9,929.00	Facility		$282.51	$452.02	$9,929.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $282.51 / $452.02 / $9,929.00	Professional		$282.51	$452.02	$9,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $181.62 / $355.16	Professional		$126.57	$181.62	$355.16