Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $1,929.56 / $10,535.57	Facility		$279.85	$1,929.56	$10,535.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $279.85	Professional		$279.85	$279.85	$279.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.85 / $590.48 / $951.49	Facility		$279.85	$590.48	$951.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.22 / $335.22 / $335.22	Professional		$335.22	$335.22	$335.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $394.49 / $448.90 / $677.43	Professional		$394.49	$448.90	$677.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.01 / $264.01 / $375.45	Facility		$264.01	$264.01	$375.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.87 / $335.82 / $816.60	Professional		$237.87	$335.82	$816.60
Medcost Facility/Professional Facility Modifier Low / Median / High Price $88.86 / $279.85 / $504.31	Facility		$88.86	$279.85	$504.31
Medcost Facility/Professional Professional Modifier Low / Median / High Price $235.00 / $235.00 / $244.00	Professional		$235.00	$235.00	$244.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $359.25 / $382.15 / $493.44	Facility		$359.25	$382.15	$493.44
Sentara Facility/Professional Professional Modifier Low / Median / High Price $359.25 / $382.15 / $493.44	Professional		$359.25	$382.15	$493.44
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $335.82 / $816.60	Professional		$279.85	$335.82	$816.60