Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $1,905.46	Facility		$691.83	$1,445.44	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,288.25 / $2,344.23	Facility		$691.83	$1,288.25	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,148.15	Professional		$691.83	$691.83	$1,148.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,071.52	Professional		$691.83	$691.83	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Facility		$645.65	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $776.25	Professional		$588.84	$691.83	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $724.44 / $1,148.15	Facility		$691.83	$724.44	$1,148.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $691.83 / $691.83	Professional		$660.69	$691.83	$691.83
Sentara Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $741.31 / $1,000.00	Facility		$645.65	$741.31	$1,000.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,000.00	Professional		$645.65	$741.31	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $1,047.13	Facility		$645.65	$691.83	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $776.25	Professional		$676.08	$724.44	$776.25