Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.57 / $639.57 / $1,614.00	Facility		$639.57	$639.57	$1,614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.90 / $639.57 / $656.46	Professional		$340.90	$639.57	$656.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,293.52 / $1,293.52 / $1,373.72	Facility		$1,293.52	$1,293.52	$1,373.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.00 / $613.00 / $766.31	Professional		$613.00	$613.00	$766.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $694.00 / $694.00 / $884.24	Professional		$694.00	$694.00	$884.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.43 / $700.00 / $773.33	Facility		$691.43	$700.00	$773.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $773.33	Professional		$511.00	$511.00	$773.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.46 / $1,164.17 / $1,552.22	Professional		$905.46	$1,164.17	$1,552.22
Medcost Facility/Professional Facility Modifier Low / Median / High Price $330.98 / $772.30 / $1,445.29	Facility		$330.98	$772.30	$1,445.29
Medcost Facility/Professional Professional Modifier Low / Median / High Price $631.00 / $1,552.00 / $2,154.58	Professional		$631.00	$1,552.00	$2,154.58
Sentara Facility/Professional Facility Modifier Low / Median / High Price $708.68 / $976.21 / $1,543.79	Facility		$708.68	$976.21	$1,543.79
Sentara Facility/Professional Professional Modifier Low / Median / High Price $708.68 / $976.21 / $1,543.79	Professional		$708.68	$976.21	$1,543.79
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.32 / $645.32 / $969.60	Professional		$487.32	$645.32	$969.60