Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $1,305.93 / $5,845.12	Facility		$646.00	$1,305.93	$5,845.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $741.00 / $932.37	Professional		$733.67	$741.00	$932.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $1,518.70 / $2,399.10	Facility		$733.67	$1,518.70	$2,399.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $983.41	Professional		$733.67	$733.67	$983.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $734.16 / $734.16	Professional		$733.67	$734.16	$734.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $692.14 / $733.67	Facility		$692.14	$692.14	$733.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $733.67	Professional		$733.67	$733.67	$733.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $623.62 / $733.67 / $1,292.77	Professional		$623.62	$733.67	$1,292.77
Medcost Facility/Professional Facility Modifier Low / Median / High Price $348.46 / $770.35 / $1,224.85	Facility		$348.46	$770.35	$1,224.85
Medcost Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $686.00 / $1,038.53	Professional		$272.00	$686.00	$1,038.53
Sentara Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $887.74 / $1,281.30	Facility		$733.67	$887.74	$1,281.30
Sentara Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $887.74 / $1,281.30	Professional		$733.67	$887.74	$1,281.30
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.69 / $865.73	Professional		$733.67	$777.69	$865.73