Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $408.06 / $1,051.82	Facility		$294.69	$408.06	$1,051.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $309.43 / $309.43	Professional		$294.69	$309.43	$309.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.69 / $621.79 / $1,001.95	Facility		$294.69	$621.79	$1,001.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $564.60 / $642.48 / $969.56	Professional		$564.60	$642.48	$969.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.01 / $278.01 / $294.69	Facility		$278.01	$278.01	$294.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $294.69 / $294.69	Professional		$294.69	$294.69	$294.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.49 / $353.63 / $447.37	Professional		$250.49	$353.63	$447.37
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $294.69 / $294.69	Facility		$4.05	$294.69	$294.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $19.00 / $19.00	Professional		$19.00	$19.00	$19.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $279.95 / $356.57 / $570.00	Facility		$279.95	$356.57	$570.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $279.95 / $356.57 / $570.00	Professional		$279.95	$356.57	$570.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.93 / $294.69 / $369.84	Professional		$289.93	$294.69	$369.84