Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.67 / $697.86 / $957.12	Facility		$411.67	$697.86	$957.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $411.67 / $411.67	Professional		$392.06	$411.67	$411.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $827.25 / $1,333.00	Facility		$392.06	$827.25	$1,333.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $525.32 / $597.78 / $902.10	Professional		$525.32	$597.78	$902.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $369.87 / $392.06	Facility		$369.87	$369.87	$392.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.25 / $452.26 / $470.47	Professional		$333.25	$452.26	$470.47
Medcost Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $392.06 / $555.15	Facility		$70.70	$392.06	$555.15
Medcost Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $161.00	Professional		$161.00	$161.00	$161.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $365.36 / $392.06 / $501.84	Facility		$365.36	$392.06	$501.84
Sentara Facility/Professional Professional Modifier Low / Median / High Price $365.36 / $392.06 / $501.84	Professional		$365.36	$392.06	$501.84
United Facility/Professional Professional Modifier Low / Median / High Price $385.73 / $392.06 / $452.26	Professional		$385.73	$392.06	$452.26