Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $1,110.00 / $4,557.43	Facility		$636.59	$1,110.00	$4,557.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $668.42 / $1,656.57	Professional		$636.59	$668.42	$1,656.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $1,343.20 / $2,164.41	Facility		$636.59	$1,343.20	$2,164.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $891.68 / $1,014.67 / $1,531.23	Professional		$891.68	$1,014.67	$1,531.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.55 / $600.55 / $636.59	Facility		$600.55	$600.55	$636.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $541.10 / $763.91 / $1,800.00	Professional		$541.10	$763.91	$1,800.00
Medcost Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $636.59 / $1,382.81	Facility		$636.59	$636.59	$1,382.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $604.76 / $770.27 / $1,602.00	Facility		$604.76	$770.27	$1,602.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $604.76 / $770.27 / $1,602.00	Professional		$604.76	$770.27	$1,602.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.49 / $636.59 / $798.92	Professional		$617.49	$636.59	$798.92