Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $549.54 / $1,412.54	Facility		$457.09	$549.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $912.01	Professional		$457.09	$549.54	$912.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,202.26	Facility		$1,122.02	$1,122.02	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,318.26	Professional		$630.96	$630.96	$1,318.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $776.25	Professional		$588.84	$588.84	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $741.31 / $741.31	Facility		$446.68	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,584.89	Professional		$794.33	$1,122.02	$1,584.89
Medcost Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,122.02	Professional		$562.34	$741.31	$1,122.02
Medcost Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $741.31 / $1,479.11	Facility		$457.09	$741.31	$1,479.11
Medcost Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,412.54	Professional		$602.56	$741.31	$1,412.54
Sentara Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $2,454.71	Facility		$602.56	$933.25	$2,454.71
Sentara Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $2,454.71	Professional		$602.56	$933.25	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $1,412.54	Facility		$354.81	$512.86	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $891.25	Professional		$501.19	$549.54	$891.25