Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $396.94 / $789.31	Facility		$346.11	$396.94	$789.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $349.57 / $363.41	Professional		$346.11	$349.57	$363.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $730.29 / $1,176.77	Facility		$346.11	$730.29	$1,176.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $453.10 / $515.59 / $778.08	Professional		$453.10	$515.59	$778.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.52 / $326.52 / $346.11	Facility		$326.52	$326.52	$346.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.11 / $346.11 / $346.11	Professional		$346.11	$346.11	$346.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $415.01 / $415.33	Professional		$294.19	$415.01	$415.33
Medcost Facility/Professional Facility Modifier Low / Median / High Price $346.11 / $346.11 / $553.47	Facility		$346.11	$346.11	$553.47
Sentara Facility/Professional Facility Modifier Low / Median / High Price $328.80 / $346.11 / $443.02	Facility		$328.80	$346.11	$443.02
Sentara Facility/Professional Professional Modifier Low / Median / High Price $328.80 / $346.11 / $443.02	Professional		$328.80	$346.11	$443.02
United Facility/Professional Facility Modifier Low / Median / High Price $339.99 / $339.99 / $346.11	Facility		$339.99	$339.99	$346.11
United Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $346.11 / $415.01	Professional		$335.73	$346.11	$415.01