Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $1,110.14 / $2,093.94	Facility		$438.68	$1,110.14	$2,093.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $438.68 / $552.41	Professional		$368.49	$438.68	$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 / $402.41	Professional		$288.83	$288.83	$402.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $584.90 / $1,140.55	Professional		$526.41	$584.90	$1,140.55
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 $368.49 / $467.92 / $1,063.97	Facility		$368.49	$467.92	$1,063.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $987.00 / $1,403.76	Professional		$585.00	$987.00	$1,403.76
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 Facility Modifier Low / Median / High Price $701.88 / $701.88 / $701.88	Facility		$701.88	$701.88	$701.88
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $336.98 / $796.75	Professional		$245.66	$336.98	$796.75