Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $552.41 / $552.41	Facility		$438.68	$552.41	$552.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $467.92 / $552.41	Professional		$368.49	$467.92	$552.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $2,848.46	Facility		$584.90	$584.90	$2,848.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $403.58	Professional		$288.83	$288.83	$403.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $1,140.55 / $5,280.00	Professional		$584.90	$1,140.55	$5,280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $384.43 / $1,092.94 / $2,995.90	Facility		$384.43	$1,092.94	$2,995.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.33 / $395.22 / $1,102.18	Professional		$320.33	$395.22	$1,102.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $701.88 / $865.65	Professional		$584.90	$701.88	$865.65
Medcost Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $1,147.33 / $2,057.92	Facility		$526.41	$1,147.33	$2,057.92
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $987.00 / $1,381.20	Professional		$585.00	$987.00	$1,381.20
Sentara Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $802.33 / $2,479.73	Facility		$519.91	$802.33	$2,479.73
Sentara Facility/Professional Professional Modifier Low / Median / High Price $519.91 / $802.33 / $2,479.73	Professional		$519.91	$802.33	$2,479.73
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $802.33	Professional		$245.66	$350.94	$802.33