Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.63 / $991.75 / $1,541.40	Facility		$393.63	$991.75	$1,541.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $370.93 / $393.63	Professional		$312.58	$370.93	$393.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $416.78 / $2,048.46	Facility		$416.78	$416.78	$2,048.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.82 / $205.82 / $328.92	Professional		$205.82	$205.82	$328.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $416.78 / $812.72	Professional		$375.10	$416.78	$812.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $778.79 / $2,135.39	Facility		$270.91	$778.79	$2,135.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.84 / $308.99 / $824.53	Professional		$211.84	$308.99	$824.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $500.14 / $616.83	Professional		$416.78	$500.14	$616.83
Medcost Facility/Professional Facility Modifier Low / Median / High Price $331.35 / $541.80 / $787.26	Facility		$331.35	$541.80	$787.26
Medcost Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $700.00 / $984.22	Professional		$417.00	$700.00	$984.22
Sentara Facility/Professional Facility Modifier Low / Median / High Price $396.23 / $559.62 / $4,071.00	Facility		$396.23	$559.62	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $396.23 / $559.62 / $4,071.00	Professional		$396.23	$559.62	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $571.72	Professional		$175.05	$250.07	$571.72