Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.84 / $661.64 / $1,308.74	Facility		$456.84	$661.64	$1,308.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $622.65 / $658.82	Professional		$593.00	$622.65	$658.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.00 / $1,251.23 / $2,016.20	Facility		$593.00	$1,251.23	$2,016.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $772.76 / $879.35 / $1,327.02	Professional		$772.76	$879.35	$1,327.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.44 / $559.44 / $593.00	Facility		$559.44	$559.44	$593.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.00 / $593.00 / $593.00	Professional		$593.00	$593.00	$593.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.05 / $711.60 / $779.00	Professional		$504.05	$711.60	$779.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $146.27 / $593.00 / $777.49	Facility		$146.27	$593.00	$777.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $327.00 / $327.00	Professional		$327.00	$327.00	$327.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $563.35 / $623.98 / $759.04	Facility		$563.35	$623.98	$759.04
Sentara Facility/Professional Professional Modifier Low / Median / High Price $563.35 / $623.98 / $759.04	Professional		$563.35	$623.98	$759.04
United Facility/Professional Professional Modifier Low / Median / High Price $575.21 / $593.00 / $744.22	Professional		$575.21	$593.00	$744.22