Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $600.84 / $1,194.77	Facility		$529.26	$600.84	$1,194.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.25 / $534.54 / $555.72	Professional		$529.25	$534.54	$555.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $1,116.74 / $1,799.48	Facility		$529.26	$1,116.74	$1,799.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $712.68 / $810.98 / $1,223.83	Professional		$712.68	$810.98	$1,223.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $499.30 / $499.30 / $529.26	Facility		$499.30	$499.30	$529.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.26 / $529.26 / $529.26	Professional		$529.26	$529.26	$529.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.87 / $635.11 / $1,380.00	Professional		$449.87	$635.11	$1,380.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $529.26 / $846.36 / $1,191.50	Facility		$529.26	$846.36	$1,191.50
Medcost Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $685.00 / $685.00	Professional		$685.00	$685.00	$685.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $502.80 / $640.40 / $1,228.20	Facility		$502.80	$640.40	$1,228.20
Sentara Facility/Professional Professional Modifier Low / Median / High Price $502.80 / $640.40 / $1,228.20	Professional		$502.80	$640.40	$1,228.20
United Facility/Professional Professional Modifier Low / Median / High Price $513.38 / $529.26 / $664.22	Professional		$513.38	$529.26	$664.22