Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $786.29 / $1,911.74	Facility		$748.85	$786.29	$1,911.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $786.29 / $786.29	Professional		$748.85	$786.29	$786.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.85 / $1,580.07 / $2,546.09	Facility		$748.85	$1,580.07	$2,546.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $748.85 / $748.85 / $748.85	Professional		$748.85	$748.85	$748.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $965.99 / $1,099.23 / $1,658.84	Professional		$965.99	$1,099.23	$1,658.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $706.46 / $706.46 / $748.84	Facility		$706.46	$706.46	$748.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $748.84 / $748.84 / $748.84	Professional		$748.84	$748.84	$748.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.52 / $875.68 / $898.62	Professional		$636.52	$875.68	$898.62
Medcost Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $766.22 / $1,053.96	Facility		$61.80	$766.22	$1,053.96
Medcost Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $99.00 / $99.00	Professional		$99.00	$99.00	$99.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $701.42 / $748.85 / $958.53	Facility		$701.42	$748.85	$958.53
Sentara Facility/Professional Professional Modifier Low / Median / High Price $701.42 / $748.85 / $958.53	Professional		$701.42	$748.85	$958.53
United Facility/Professional Facility Modifier Low / Median / High Price $748.84 / $748.84 / $2,715.94	Facility		$748.84	$748.84	$2,715.94
United Facility/Professional Professional Modifier Low / Median / High Price $736.76 / $748.85 / $939.81	Professional		$736.76	$748.85	$939.81