Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $579.61 / $1,152.56	Facility		$508.76	$579.61	$1,152.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $534.20 / $534.20	Professional		$508.76	$534.20	$534.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $1,073.48 / $1,729.78	Facility		$508.76	$1,073.48	$1,729.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $740.44 / $1,117.39	Professional		$650.69	$740.44	$1,117.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $479.96 / $508.76	Facility		$479.96	$479.96	$508.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Professional		$508.76	$508.76	$508.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.45 / $596.88 / $610.51	Professional		$432.45	$596.88	$610.51
Medcost Facility/Professional Facility Modifier Low / Median / High Price $298.70 / $521.32 / $715.06	Facility		$298.70	$521.32	$715.06
Medcost Facility/Professional Professional Modifier Low / Median / High Price $419.00 / $419.00 / $419.00	Professional		$419.00	$419.00	$419.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $478.10 / $507.35 / $651.21	Facility		$478.10	$507.35	$651.21
Sentara Facility/Professional Professional Modifier Low / Median / High Price $478.10 / $507.35 / $651.21	Professional		$478.10	$507.35	$651.21
United Facility/Professional Professional Modifier Low / Median / High Price $500.54 / $508.76 / $596.88	Professional		$500.54	$508.76	$596.88