Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,737.80 / $2,137.96	Facility		$758.58	$1,737.80	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $1,995.26	Professional		$758.58	$794.33	$1,995.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $2,570.40	Facility		$758.58	$1,513.56	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,288.25	Professional		$758.58	$758.58	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,862.09	Professional		$1,071.52	$1,230.27	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $758.58 / $758.58	Facility		$724.44	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,174.90	Professional		$645.65	$758.58	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,698.24	Facility		$758.58	$1,000.00	$1,698.24
Sentara Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,122.02	Facility		$724.44	$1,000.00	$1,122.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,122.02	Professional		$724.44	$1,000.00	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $1,318.26	Facility		$630.96	$776.25	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $758.58 / $954.99	Professional		$741.31	$758.58	$954.99