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 $438.68 / $479.62 / $552.41	Professional		$438.68	$479.62	$552.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $2,874.78	Facility		$584.90	$584.90	$2,874.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $288.83 / $461.59	Professional		$288.83	$288.83	$461.59
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 $380.19 / $1,092.94 / $2,995.90	Facility		$380.19	$1,092.94	$2,995.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $361.43 / $1,098.01	Professional		$297.36	$361.43	$1,098.01
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 $486.93 / $722.10 / $1,167.84	Facility		$486.93	$722.10	$1,167.84
Medcost Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $1,011.00 / $1,403.76	Professional		$585.00	$1,011.00	$1,403.76
Sentara Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $712.05 / $4,071.00	Facility		$526.41	$712.05	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $531.90 / $712.05 / $4,071.00	Professional		$531.90	$712.05	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $350.94 / $830.42	Professional		$245.66	$350.94	$830.42