Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $665.02 / $1,322.38	Facility		$579.97	$665.02	$1,322.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $608.96 / $608.96	Professional		$579.97	$608.96	$608.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.96 / $1,223.72 / $1,971.86	Facility		$579.96	$1,223.72	$1,971.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $769.98 / $876.18 / $1,322.24	Professional		$769.98	$876.18	$1,322.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.14 / $547.14 / $579.97	Facility		$547.14	$547.14	$579.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.97 / $579.97 / $579.97	Professional		$579.97	$579.97	$579.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.97 / $684.79 / $695.96	Professional		$492.97	$684.79	$695.96
Medcost Facility/Professional Facility Modifier Low / Median / High Price $579.97 / $591.25 / $887.25	Facility		$579.97	$591.25	$887.25
Medcost Facility/Professional Professional Modifier Low / Median / High Price $374.00 / $374.00 / $374.00	Professional		$374.00	$374.00	$374.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $548.52 / $579.97 / $742.36	Facility		$548.52	$579.97	$742.36
Sentara Facility/Professional Professional Modifier Low / Median / High Price $548.52 / $579.97 / $742.36	Professional		$548.52	$579.97	$742.36
United Facility/Professional Professional Modifier Low / Median / High Price $570.60 / $579.97 / $684.79	Professional		$570.60	$579.97	$684.79