Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,202.26 / $1,584.89	Facility		$575.44	$1,202.26	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $630.96	Professional		$575.44	$575.44	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,148.15 / $1,949.84	Facility		$575.44	$1,148.15	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $954.99	Professional		$575.44	$575.44	$954.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $870.96 / $1,318.26	Professional		$776.25	$870.96	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $575.44 / $575.44	Facility		$537.03	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $1,174.90	Professional		$489.78	$575.44	$1,174.90
Medcost Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $912.01	Facility		$575.44	$575.44	$912.01
Sentara Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $707.95 / $851.14	Facility		$549.54	$707.95	$851.14
Sentara Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $851.14	Professional		$549.54	$707.95	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $575.44 / $870.96	Facility		$524.81	$575.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $724.44	Professional		$562.34	$575.44	$724.44