Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.20 / $965.65 / $2,474.90	Facility		$329.20	$965.65	$2,474.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.20 / $359.92 / $414.55	Professional		$329.20	$359.92	$414.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $2,699.18	Facility		$1,303.95	$1,303.95	$2,699.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $216.76 / $323.83	Professional		$216.76	$216.76	$323.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $482.82 / $941.50	Professional		$438.93	$482.82	$941.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.49 / $820.16 / $2,247.80	Facility		$288.49	$820.16	$2,247.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.06 / $285.30 / $1,588.27	Professional		$223.06	$285.30	$1,588.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,564.74 / $1,929.85	Professional		$1,303.95	$1,564.74	$1,929.85
Medcost Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $351.14 / $830.45	Facility		$276.52	$351.14	$830.45
Medcost Facility/Professional Professional Modifier Low / Median / High Price $439.00 / $741.00 / $1,053.43	Professional		$439.00	$741.00	$1,053.43
Sentara Facility/Professional Facility Modifier Low / Median / High Price $341.39 / $575.91 / $1,983.15	Facility		$341.39	$575.91	$1,983.15
Sentara Facility/Professional Professional Modifier Low / Median / High Price $341.39 / $584.83 / $4,071.00	Professional		$341.39	$584.83	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $263.36 / $651.98	Professional		$184.35	$263.36	$651.98