Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $500.50 / $995.24	Facility		$432.02	$500.50	$995.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $453.62 / $453.62	Professional		$432.02	$453.62	$453.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.02 / $911.56 / $1,468.87	Facility		$432.02	$911.56	$1,468.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $546.26 / $621.60 / $938.06	Professional		$546.26	$621.60	$938.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $432.02	Facility		$407.57	$407.57	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.02 / $432.02 / $432.02	Professional		$432.02	$432.02	$432.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.22 / $518.41 / $545.86	Professional		$367.22	$518.41	$545.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $432.02 / $678.49	Facility		$39.90	$432.02	$678.49
Medcost Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $156.00 / $156.00	Professional		$156.00	$156.00	$156.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $410.42 / $470.96 / $558.55	Facility		$410.42	$470.96	$558.55
Sentara Facility/Professional Professional Modifier Low / Median / High Price $410.42 / $470.96 / $558.55	Professional		$410.42	$470.96	$558.55
United Facility/Professional Professional Modifier Low / Median / High Price $425.04 / $432.02 / $542.19	Professional		$425.04	$432.02	$542.19