Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $850.03 / $1,200.60	Facility		$546.29	$850.03	$1,200.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $573.61 / $606.92	Professional		$546.29	$573.61	$606.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $1,152.67 / $1,857.39	Facility		$546.29	$1,152.67	$1,857.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $745.16 / $847.94 / $1,279.60	Professional		$745.16	$847.94	$1,279.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.37 / $515.37 / $546.29	Facility		$515.37	$515.37	$546.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $655.55 / $1,037.23	Professional		$464.35	$655.55	$1,037.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $546.29 / $1,120.02	Facility		$546.29	$546.29	$1,120.02
Medcost Facility/Professional Professional Modifier Low / Median / High Price $893.00 / $893.00 / $893.00	Professional		$893.00	$893.00	$893.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $518.98 / $661.01 / $985.37	Facility		$518.98	$661.01	$985.37
Sentara Facility/Professional Professional Modifier Low / Median / High Price $518.98 / $661.01 / $985.37	Professional		$518.98	$661.01	$985.37
United Facility/Professional Professional Modifier Low / Median / High Price $537.47 / $546.29 / $685.59	Professional		$537.47	$546.29	$685.59