Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.16 / $776.00 / $1,893.00	Facility		$392.16	$776.00	$1,893.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.58 / $393.63 / $535.66	Professional		$312.58	$393.63	$535.66
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 $250.07 / $250.07 / $399.63	Professional		$250.07	$250.07	$399.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $812.72 / $2,520.80	Professional		$416.78	$812.72	$2,520.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.91 / $1,027.21 / $2,135.39	Facility		$270.91	$1,027.21	$2,135.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.93 / $308.99 / $824.53	Professional		$216.93	$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 $346.97 / $699.71 / $963.81	Facility		$346.97	$699.71	$963.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $700.00 / $1,000.27	Professional		$416.78	$700.00	$1,000.27
Sentara Facility/Professional Facility Modifier Low / Median / High Price $396.23 / $555.57 / $4,071.00	Facility		$396.23	$555.57	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $396.23 / $560.77 / $4,071.00	Professional		$396.23	$560.77	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $240.62 / $567.36	Professional		$175.05	$240.62	$567.36