Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,380.38	Facility		$501.19	$1,047.13	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $549.54	Professional		$501.19	$501.19	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,698.24	Facility		$501.19	$1,000.00	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $741.31 / $1,122.02	Professional		$660.69	$741.31	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $501.19	Facility		$467.74	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $602.56	Professional		$426.58	$501.19	$602.56
Medcost Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $630.96	Facility		$501.19	$501.19	$630.96
Sentara Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $724.44	Facility		$467.74	$478.63	$724.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $478.63 / $724.44	Professional		$467.74	$478.63	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $776.25	Facility		$467.74	$501.19	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $588.84	Professional		$478.63	$501.19	$588.84