Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.44 / $380.44 / $1,496.04	Facility		$380.44	$380.44	$1,496.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.91 / $380.44 / $408.94	Professional		$314.91	$380.44	$408.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.43 / $769.43 / $817.13	Facility		$769.43	$769.43	$817.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $382.93 / $509.87	Professional		$382.93	$382.93	$509.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $413.00 / $413.00 / $525.98	Professional		$413.00	$413.00	$525.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.60 / $408.60 / $408.60	Facility		$408.60	$408.60	$408.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.27 / $298.27 / $408.60	Professional		$298.27	$298.27	$408.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.60 / $692.49 / $923.32	Professional		$538.60	$692.49	$923.32
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.61 / $469.00 / $875.86	Facility		$210.61	$469.00	$875.86
Medcost Facility/Professional Professional Modifier Low / Median / High Price $368.00 / $961.79 / $1,281.63	Professional		$368.00	$961.79	$1,281.63
Sentara Facility/Professional Facility Modifier Low / Median / High Price $421.55 / $580.67 / $961.79	Facility		$421.55	$580.67	$961.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $421.55 / $580.67 / $961.79	Professional		$421.55	$580.67	$961.79
United Facility/Professional Professional Modifier Low / Median / High Price $296.20 / $383.86 / $578.24	Professional		$296.20	$383.86	$578.24