Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.65 / $965.84 / $1,821.75	Facility		$381.65	$965.84	$1,821.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.65 / $432.54 / $508.87	Professional		$381.65	$432.54	$508.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $508.87 / $2,501.10	Facility		$508.87	$508.87	$2,501.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.55 / $203.55 / $330.76	Professional		$203.55	$203.55	$330.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.10 / $793.85 / $2,239.03	Professional		$407.10	$793.85	$2,239.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $950.87 / $2,306.84	Facility		$330.77	$950.87	$2,306.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.39 / $308.95 / $825.21	Professional		$241.39	$308.95	$825.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $610.64 / $753.13	Professional		$508.87	$610.64	$753.13
Medcost Facility/Professional Facility Modifier Low / Median / High Price $432.54 / $610.64 / $875.26	Facility		$432.54	$610.64	$875.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $509.00 / $641.00 / $1,201.97	Professional		$509.00	$641.00	$1,201.97
Sentara Facility/Professional Facility Modifier Low / Median / High Price $417.27 / $569.92 / $4,071.00	Facility		$417.27	$569.92	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $417.27 / $569.92 / $4,071.00	Professional		$417.27	$569.92	$4,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $213.73 / $213.73 / $213.73	Facility		$213.73	$213.73	$213.73
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $264.61 / $585.20	Professional		$213.73	$264.61	$585.20