Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $695.24 / $1,382.48	Facility		$575.50	$695.24	$1,382.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $581.26 / $730.89	Professional		$575.50	$581.26	$730.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $1,191.29 / $1,881.89	Facility		$575.50	$1,191.29	$1,881.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $771.40	Professional		$575.50	$575.50	$771.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $575.51 / $606.35 / $606.35	Professional		$575.51	$606.35	$606.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.92 / $542.92 / $575.50	Facility		$542.92	$542.92	$575.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $575.50 / $575.50	Professional		$575.50	$575.50	$575.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.37 / $489.18 / $575.50	Professional		$387.37	$489.18	$575.50
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.52 / $598.52 / $960.81	Facility		$529.52	$598.52	$960.81
Medcost Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $644.54 / $1,666.03	Professional		$173.55	$644.54	$1,666.03
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.50 / $690.60 / $863.25	Facility		$575.50	$690.60	$863.25
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $690.60 / $863.25	Professional		$575.50	$690.60	$863.25
United Facility/Professional Professional Modifier Low / Median / High Price $575.50 / $610.03 / $644.55	Professional		$575.50	$610.03	$644.55