Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.63 / $916.92 / $1,573.73	Facility		$393.63	$916.92	$1,573.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.89 / $333.42 / $393.63	Professional		$220.89	$333.42	$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 / $323.24	Professional		$205.82	$205.82	$323.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $812.72 / $2,495.59	Professional		$416.78	$812.72	$2,495.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $918.83 / $2,135.39	Facility		$270.91	$918.83	$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 / $619.44 / $788.38	Facility		$331.35	$619.44	$788.38
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 $394.17 / $555.16 / $4,071.00	Facility		$394.17	$555.16	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $395.84 / $555.16 / $4,071.00	Professional		$395.84	$555.16	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $567.36	Professional		$175.05	$250.07	$567.36