Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.13 / $416.55 / $416.55	Facility		$282.13	$416.55	$416.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $416.55 / $570.72	Professional		$282.13	$416.55	$570.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.12 / $444.12 / $444.12	Professional		$444.12	$444.12	$444.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $446.74	Professional		$400.00	$400.00	$446.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $150.00 / $150.00	Professional		$54.43	$150.00	$150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.26 / $444.65 / $598.26	Professional		$367.26	$444.65	$598.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $291.87 / $470.70	Facility		$69.25	$291.87	$470.70
Medcost Facility/Professional Professional Modifier Low / Median / High Price $501.00 / $501.00 / $501.00	Professional		$501.00	$501.00	$501.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $47.05 / $263.75 / $734.75	Facility		$47.05	$263.75	$734.75
Sentara Facility/Professional Professional Modifier Low / Median / High Price $47.03 / $291.85 / $734.75	Professional		$47.03	$291.85	$734.75
United Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $320.83 / $469.65	Professional		$258.89	$320.83	$469.65