Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $595.67 / $1,184.51	Facility		$508.96	$595.67	$1,184.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $534.41 / $534.41	Professional		$508.96	$534.41	$534.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $1,073.91 / $1,730.46	Facility		$508.96	$1,073.91	$1,730.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $682.59 / $776.74 / $1,172.17	Professional		$682.59	$776.74	$1,172.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.15 / $480.15 / $508.96	Facility		$480.15	$480.15	$508.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $508.96	Professional		$508.96	$508.96	$508.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.62 / $604.67 / $610.75	Professional		$432.62	$604.67	$610.75
Medcost Facility/Professional Facility Modifier Low / Median / High Price $100.04 / $508.96 / $798.05	Facility		$100.04	$508.96	$798.05
Medcost Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $354.00 / $354.00	Professional		$354.00	$354.00	$354.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $483.51 / $508.96 / $651.47	Facility		$483.51	$508.96	$651.47
Sentara Facility/Professional Professional Modifier Low / Median / High Price $483.51 / $508.96 / $651.47	Professional		$483.51	$508.96	$651.47
United Facility/Professional Professional Modifier Low / Median / High Price $508.96 / $508.96 / $638.74	Professional		$508.96	$508.96	$638.74