Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $570.78 / $1,134.98	Facility		$498.14	$570.78	$1,134.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $523.04 / $523.04	Professional		$498.14	$523.04	$523.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.13 / $1,051.05 / $1,693.64	Facility		$498.13	$1,051.05	$1,693.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $668.51 / $760.72 / $1,147.99	Professional		$668.51	$760.72	$1,147.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.94 / $469.94 / $498.14	Facility		$469.94	$469.94	$498.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $423.42 / $581.02 / $597.77	Professional		$423.42	$581.02	$597.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $498.14 / $882.09	Facility		$498.14	$498.14	$882.09
Sentara Facility/Professional Facility Modifier Low / Median / High Price $465.68 / $494.16 / $637.62	Facility		$465.68	$494.16	$637.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $465.68 / $494.16 / $637.62	Professional		$465.68	$494.16	$637.62
United Facility/Professional Professional Modifier Low / Median / High Price $490.10 / $498.14 / $581.02	Professional		$490.10	$498.14	$581.02