Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.40 / $956.59 / $1,678.31	Facility		$428.40	$956.59	$1,678.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $413.28 / $428.40	Professional		$378.00	$413.28	$428.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $2,454.48	Facility		$504.00	$504.00	$2,454.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.60 / $201.60 / $316.61	Professional		$201.60	$201.60	$316.61
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $453.60 / $884.52	Professional		$403.20	$453.60	$884.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.26 / $941.76 / $2,581.60	Facility		$331.26	$941.76	$2,581.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.32 / $311.38 / $897.79	Professional		$241.32	$311.38	$897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $604.79 / $745.92	Professional		$504.00	$604.79	$745.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $403.20 / $680.40	Facility		$302.39	$403.20	$680.40
Medcost Facility/Professional Professional Modifier Low / Median / High Price $415.80 / $529.20 / $1,190.18	Professional		$415.80	$529.20	$1,190.18
Sentara Facility/Professional Facility Modifier Low / Median / High Price $352.80 / $605.80 / $4,071.00	Facility		$352.80	$605.80	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $352.80 / $610.04 / $4,071.00	Professional		$352.80	$610.04	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $252.00 / $504.00	Professional		$211.68	$252.00	$504.00