Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $812.83 / $6,456.54	Facility		$380.19	$812.83	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $446.68	Professional		$380.19	$380.19	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $758.58 / $1,318.26	Facility		$380.19	$758.58	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $645.65	Professional		$380.19	$380.19	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $891.25	Professional		$512.86	$588.84	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $380.19	Facility		$363.08	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $457.09	Professional		$323.59	$380.19	$457.09
Medcost Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $389.05 / $524.81	Facility		$186.21	$389.05	$524.81
Sentara Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $398.11 / $562.34	Facility		$363.08	$398.11	$562.34
Sentara Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $398.11 / $562.34	Professional		$363.08	$398.11	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $380.19 / $616.60	Facility		$371.54	$380.19	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $407.38 / $457.09	Professional		$380.19	$407.38	$457.09