Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $640.45 / $1,273.52	Facility		$558.46	$640.45	$1,273.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $586.38 / $586.38	Professional		$558.46	$586.38	$586.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.46 / $1,178.34 / $1,898.76	Facility		$558.46	$1,178.34	$1,898.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $745.42 / $848.23 / $1,280.06	Professional		$745.42	$848.23	$1,280.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.85 / $526.85 / $558.46	Facility		$526.85	$526.85	$558.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.46 / $558.46 / $558.46	Professional		$558.46	$558.46	$558.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.69 / $645.98 / $670.15	Professional		$474.69	$645.98	$670.15
Medcost Facility/Professional Facility Modifier Low / Median / High Price $363.50 / $557.74 / $975.57	Facility		$363.50	$557.74	$975.57
Medcost Facility/Professional Professional Modifier Low / Median / High Price $555.00 / $555.00 / $555.00	Professional		$555.00	$555.00	$555.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $520.42 / $549.08 / $714.83	Facility		$520.42	$549.08	$714.83
Sentara Facility/Professional Professional Modifier Low / Median / High Price $520.42 / $549.08 / $714.83	Professional		$520.42	$549.08	$714.83
United Facility/Professional Professional Modifier Low / Median / High Price $541.71 / $558.46 / $645.98	Professional		$541.71	$558.46	$645.98