Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $3,075.16 / $9,634.24	Facility		$222.25	$3,075.16	$9,634.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Professional		$222.25	$222.25	$222.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $468.95 / $755.65	Facility		$222.25	$468.95	$755.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Professional		$222.25	$222.25	$222.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $356.25 / $405.39 / $611.77	Professional		$356.25	$405.39	$611.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.67 / $209.67 / $399.36	Facility		$209.67	$209.67	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $266.70 / $345.30	Professional		$188.91	$266.70	$345.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $222.25 / $338.49	Facility		$222.25	$222.25	$338.49
Sentara Facility/Professional Facility Modifier Low / Median / High Price $382.13 / $406.49 / $524.88	Facility		$382.13	$406.49	$524.88
Sentara Facility/Professional Professional Modifier Low / Median / High Price $382.13 / $406.49 / $524.88	Professional		$382.13	$406.49	$524.88
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $283.77 / $427.88	Professional		$222.25	$283.77	$427.88