Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.23 / $579.03 / $1,527.75	Facility		$450.23	$579.03	$1,527.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.51 / $461.88 / $539.73	Professional		$385.51	$461.88	$539.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.57 / $602.41 / $862.30	Professional		$462.57	$602.41	$862.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $550.00 / $1,629.35	Professional		$550.00	$550.00	$1,629.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.72 / $374.64 / $750.71	Facility		$365.72	$374.64	$750.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.79 / $608.77 / $1,152.59	Professional		$428.79	$608.77	$1,152.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.50 / $535.89 / $678.02	Professional		$455.50	$535.89	$678.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $417.95 / $494.32 / $752.85	Facility		$417.95	$494.32	$752.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $622.00 / $794.52 / $1,132.09	Professional		$622.00	$794.52	$1,132.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $464.53 / $653.98 / $1,063.07	Facility		$464.53	$653.98	$1,063.07
Sentara Facility/Professional Professional Modifier Low / Median / High Price $464.53 / $653.98 / $1,063.07	Professional		$464.53	$653.98	$1,063.07
United Facility/Professional Professional Modifier Low / Median / High Price $228.75 / $416.71 / $784.56	Professional		$228.75	$416.71	$784.56