Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $478.63 / $1,258.93	Facility		$398.11	$478.63	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $758.58	Professional		$398.11	$478.63	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,071.52	Facility		$1,000.00	$1,000.00	$1,071.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,047.13	Professional		$501.19	$501.19	$1,047.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $691.83	Professional		$602.56	$602.56	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $575.44 / $575.44	Facility		$363.08	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $575.44	Professional		$426.58	$426.58	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,412.54	Professional		$707.95	$1,000.00	$1,412.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $660.69	Professional		$416.87	$660.69	$660.69
Medcost Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,258.93	Facility		$398.11	$645.65	$1,258.93
Medcost Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,258.93	Professional		$537.03	$645.65	$1,258.93
Sentara Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $2,187.76	Facility		$575.44	$870.96	$2,187.76
Sentara Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $2,187.76	Professional		$575.44	$870.96	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $398.11 / $1,288.25	Facility		$275.42	$398.11	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $870.96	Professional		$407.38	$489.78	$870.96