Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.44 / $932.02 / $1,326.00	Facility		$712.44	$932.02	$1,326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,076.40 / $1,326.00 / $1,326.00	Professional		$1,076.40	$1,326.00	$1,326.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.18 / $766.27 / $1,210.49	Facility		$370.18	$766.27	$1,210.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.00 / $1,248.00 / $1,672.81	Professional		$1,248.00	$1,248.00	$1,672.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $370.18 / $370.18	Professional		$370.18	$370.18	$370.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $1,326.00 / $1,326.00	Facility		$356.22	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.10 / $208.88 / $435.21	Professional		$167.10	$208.88	$435.21
Medcost Facility/Professional Facility Modifier Low / Median / High Price $228.01 / $1,326.00 / $1,896.18	Facility		$228.01	$1,326.00	$1,896.18
Medcost Facility/Professional Professional Modifier Low / Median / High Price $274.19 / $471.00 / $763.00	Professional		$274.19	$471.00	$763.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,495.00 / $1,950.00	Facility		$1,300.00	$1,495.00	$1,950.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,495.00 / $1,950.00	Professional		$1,300.00	$1,495.00	$1,950.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,378.00 / $1,462.32	Professional		$1,300.00	$1,378.00	$1,462.32